PRESTON FREDERICK DC NPI 1639870512

NPI Information

NPI: 1639870512
Provider Name: PRESTON FREDERICK, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8147 GLOBE DR STE 103
WOODBURY, MN
ZIP 55125
Phone: (651) 731-0505
Get Directions

Preston Frederick, DC is a chiropractor in Woodbury, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Preston Frederick, DC NPI is 1639870512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8147 GLOBE DR STE 103
WOODBURY, MN
ZIP 55125-741
Phone: (651) 731-0505

The NPI 1639870512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/16/2023 and was last updated on 3/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		7091	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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