Provider Demographics
NPI:1417181330
Name:FRONT DOOR CHIROPRACTIC SERVICES P.A.
Entity type:Organization
Organization Name:FRONT DOOR CHIROPRACTIC SERVICES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:OSCAR
Authorized Official - Last Name:FAEHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-250-5360
Mailing Address - Street 1:1971 GENEVA AVE N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-4108
Mailing Address - Country:US
Mailing Address - Phone:612-250-5360
Mailing Address - Fax:651-340-1812
Practice Address - Street 1:1971 GENEVA AVE N
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-4108
Practice Address - Country:US
Practice Address - Phone:612-250-5360
Practice Address - Fax:651-340-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty