Individual
TED J FREIDLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
600 S JACKSON PARK DR, SEYMOUR, IN 47274-2626
(812) 519-2963
(812) 519-3515
Mailing address
600 S JACKSON PARK DR, SEYMOUR, IN 47274-2626
(812) 519-2963
(812) 519-3515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001656A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652140
ANTHEM
IN
05
—
200091090
—
IN
Enumeration date
03/26/2007
Last updated
08/04/2010
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