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NOEL FREDERICKSEN
NPI 1073067401
Chiropractor in Mahtomedi, MN

Active since August 15, 2016
55 ELM ST, MAHTOMEDI, MN 55115(612) 990-4478 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Noel Fredericksen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOEL FREDERICKSEN (NPI 1073067401) is an individual chiropractor in Mahtomedi, Minnesota, licensed in Minnesota (6212) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1073067401
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameNOEL FREDERICKSEN
Location Address55 ELM STMahtomedi, MN 55115-1614
Mailing Address55 Elm StMahtomedi, MN 55115-1614 · (612) 990-4478
Phone(612) 990-4478
Sole ProprietorYes
Enumeration DateAugust 15, 2016
✔ NPI 1073067401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6212
Definition
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.
55 ELM ST, Mahtomedi, MN 55115
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noel Fredericksen's NPI number?

The NPI number for Noel Fredericksen is 1073067401. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Noel Fredericksen located?

Noel Fredericksen practices at 55 Elm St, Mahtomedi, MN 55115. The listed phone number is (612) 990-4478.

What is Noel Fredericksen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Noel Fredericksen was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.