Healthcare Provider Details

I. General information

NPI: 1114028230
Provider Name (Legal Business Name): CHIROPRACTIC HEALTH CENTER OF LESUEUR PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S MAIN ST
LE SUEUR MN
56058-1912
US

IV. Provider business mailing address

211 S MAIN ST
LE SUEUR MN
56058-1912
US

V. Phone/Fax

Practice location:
  • Phone: 507-665-6249
  • Fax: 507-665-6240
Mailing address:
  • Phone: 507-665-6249
  • Fax: 507-665-6240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2025
License Number StateMN

VIII. Authorized Official

Name: DR. ERIC T SAUGEN
Title or Position: OWNER
Credential: D.C.
Phone: 507-665-6249