Provider Demographics
NPI:1124290473
Name:CHAD R LAUX DC PA
Entity type:Organization
Organization Name:CHAD R LAUX DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:LAUX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-343-3323
Mailing Address - Street 1:811 LASALLE AVE
Mailing Address - Street 2:SUITE 207C
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2030
Mailing Address - Country:US
Mailing Address - Phone:612-343-3323
Mailing Address - Fax:612-343-5558
Practice Address - Street 1:811 LASALLE AVE
Practice Address - Street 2:SUITE 207C
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2030
Practice Address - Country:US
Practice Address - Phone:612-343-3323
Practice Address - Fax:612-343-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty