Healthcare Provider Details

I. General information

NPI: 1871642181
Provider Name (Legal Business Name): SHIRLEY N HIMANGA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 01/15/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 EGAN DR STE 201
SAVAGE MN
55378-3303
US

IV. Provider business mailing address

7447 EGAN DR STE 201
SAVAGE MN
55378-3303
US

V. Phone/Fax

Practice location:
  • Phone: 952-447-3343
  • Fax:
Mailing address:
  • Phone: 952-447-3343
  • Fax: 952-226-5504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556253
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4497
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: