Healthcare Provider Details

I. General information

NPI: 1306175419
Provider Name (Legal Business Name): HEU CHIROPRACTIC SPA, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2009
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

6901 78TH AVE N SUITE 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: DR. SAUL C HEU
Title or Position: PRESIDENT
Credential: D.C.
Phone: 763-566-1520