Henriksen, Chad C

Henriksen, Chad C is an individual health care provider with primary practice located at 124 W Main St Suite #4, Waconia MN 55387-6000. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Occupational Health. Chiropractic Providers / Chiropractor is his primary health care specialty. Henriksen, Chad C can be contacted via phone (952) 442-7075.

Contact Information

Primary practice address
124 W Main St Suite #4 Waconia MN 55387-6000
Phone: (952) 442-7075
Fax: (952) 442-7086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 003337 Minnesota
Chiropractic Providers / Occupational Health 111NX0100X 003337 Minnesota

Profile Details

NPI number 1467584201
LBN Legal business name Henriksen, Chad C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467584201 NPPES
Minnesota Other 050M6HE BLUE CROSS BLUE SHIELD MN
Minnesota MEDICAID 4489668 BLUE CROSS BLUE SHIELD MN

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