Healthcare Provider Details

I. General information

NPI: 1174720635
Provider Name (Legal Business Name): SAUL CHUE SAO HEU D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 78TH AVE N STE 102
BROOKLYN PARK MN
55445-2720
US

IV. Provider business mailing address

6901 78TH AVE N STE 102
BROOKLYN PARK MN
55445-2720
US

V. Phone/Fax

Practice location:
  • Phone: 763-566-1520
  • Fax: 763-566-1526
Mailing address:
  • Phone: 763-566-1520
  • Fax: 763-566-1526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4949
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: