Active NPIIndividual providerSole proprietor

Dr. Walter F Fricke, DAC, LAC

Acupuncturist in South Orange, New Jersey

NPI Number1992984819
Practice location
125 Prospect St, South Orange, NJ 07079-1801
Fax
—
Last updated
September 12, 2020

Walter F Fricke is an Acupuncturist based in South Orange, NJ. Walter F Fricke practices in South Orange, NJ and has the professional credentials of DAC, LAC. The NPI Number for Walter F Fricke is 1992984819 and holds a License No. DA00313 (RI). The current practice location address for Walter F Fricke is 125 Prospect St, South Orange, NJ 07079-1801 and can be reached out via phone at 201-654-7415.

Provider Profile Details

NPI Number
1992984819
Provider Name
Walter F Fricke
Credential
DAC, LAC
Provider Entity Type
Individual
Gender
Male
Address
125 Prospect St, South Orange, NJ 07079-1801
Phone Number
201-654-7415
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 27, 2007
Last Update Date
September 12, 2020
Certification Date
September 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Prospect St
South Orange, NJ 07079-1801
Zip
07079-1801
Phone Number
201-654-7415
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
5 Roosevelt Pl Apt 4S
Montclair, NJ 07042-3374
City
Montclair
State
NJ
Zip
07042-3374
Phone Number
201-654-7415

License Information

License Number (1)
DA00313
License State (1)
RI
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
25MZ00038000
License State (2)
NJ
Taxonomy (2)
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Walter F Fricke, DAC, LAC?

The NPI number of Dr. Walter F Fricke, DAC, LAC is 1992984819. It was assigned on October 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Walter F Fricke, DAC, LAC?

Dr. Walter F Fricke, DAC, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in RI under license number DA00313.

Where does Dr. Walter F Fricke, DAC, LAC practice?

The practice location is 125 Prospect St, South Orange, NJ 07079-1801. The office can be reached at 201-654-7415 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992984819 directly on the NPPES registry website.

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