Individual
DR. TIMOTHY MICHAEL FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
390 INDEPENDENCE DRIVE, NAPOLEON, OH 43545
(419) 592-7966
(419) 599-0635
Mailing address
390 INDEPENDENCE DRIVE, NAPOLEON, OH 43545
(419) 592-7966
(419) 599-0635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6093
MI
111N00000X
Chiropractor
6520
GA
111N00000X
Chiropractor
Primary
804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132345
ANTHEM BCBS
OH
05
—
0426980
—
OH
01
—
34146624100
WORKERS COMPENSATION
OH
01
—
5627090
AETNA
OH
Enumeration date
07/17/2006
Last updated
07/08/2007
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