Provider Demographics
NPI:1487451191
Name:FROEMMING, IAN MICHAEL
Entity type:Individual
Prefix:
First Name:IAN
Middle Name:MICHAEL
Last Name:FROEMMING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7517 N 57TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2317
Mailing Address - Country:US
Mailing Address - Phone:402-515-3739
Mailing Address - Fax:
Practice Address - Street 1:7197 PINE ST.
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-6810
Practice Address - Country:US
Practice Address - Phone:402-556-1883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist