Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DAVID FRIDERES, D.C.
Deactivated Sole ProprietorDR. MARK DAVID FRIDERES, D.C. is a Chiropractor healthcare provider located in NEVADA, Iowa. NPI 1013912955 is deactivated in the NPPES registry. Verify at CMS.
Chiropractor · NEVADA, IA
This NPI has been deactivated.
The record was deactivated on March 18, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1013912955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (0.75342465753425 yrs)
- Last Updated
- Aug 17, 2012
- Deactivated
- Mar 18, 2006
- License
-
06327 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1229 S G AVENEVADA, IA, 502012778Browse IA providers · Browse ZIP 50201
- Phone
- 5153822128
- Fax
- 5153823617
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in NEVADA, IA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID K. REBARCAK | DC | 1942280417 |
| DR. JASON E GRIMM | D.C. | 1932308814 |
| DR. DUSTIN A SCOTT | DC | 1770347155 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.