Healthcare Provider Details

I. General information

NPI: 1841325826
Provider Name (Legal Business Name): ERIK BRIAN HAN-LINDEMYER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4678 SLATER RD WENTWORTH PARK
EAGAN MN
55122-2362
US

IV. Provider business mailing address

4678 SLATER RD WENTWORTH PARK
EAGAN MN
55122-2362
US

V. Phone/Fax

Practice location:
  • Phone: 651-905-0330
  • Fax: 651-905-0425
Mailing address:
  • Phone: 651-905-0330
  • Fax: 651-905-0425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4179
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: