Provider Demographics
NPI:1306175419
Name:HEU CHIROPRACTIC SPA, P. A.
Entity type:Organization
Organization Name:HEU CHIROPRACTIC SPA, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HEU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-566-1520
Mailing Address - Street 1:6901 78TH AVE N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-2720
Mailing Address - Country:US
Mailing Address - Phone:763-566-1520
Mailing Address - Fax:763-566-1526
Practice Address - Street 1:6901 78TH AVE N
Practice Address - Street 2:SUITE 102
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2720
Practice Address - Country:US
Practice Address - Phone:763-566-1520
Practice Address - Fax:763-566-1526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4949111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty