Provider Demographics
NPI:1114028230
Name:CHIROPRACTIC HEALTH CENTER OF LESUEUR PA
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH CENTER OF LESUEUR PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:T
Authorized Official - Last Name:SAUGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-665-6249
Mailing Address - Street 1:211 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LE SUEUR
Mailing Address - State:MN
Mailing Address - Zip Code:56058-1912
Mailing Address - Country:US
Mailing Address - Phone:507-665-6249
Mailing Address - Fax:507-665-6240
Practice Address - Street 1:211 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LE SUEUR
Practice Address - State:MN
Practice Address - Zip Code:56058-1912
Practice Address - Country:US
Practice Address - Phone:507-665-6249
Practice Address - Fax:507-665-6240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN230748OtherCHIROPRACTIC CARE OF MINN
MN60290CHOtherBLUE CROSS BLUE SHIELD
MNC07799Medicare ID - Type Unspecified