Provider Demographics
NPI:1184648412
Name:CASTRO, HANS MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:MICHAEL
Last Name:CASTRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 50TH AVE NE
Mailing Address - Street 2:107
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-1900
Mailing Address - Country:US
Mailing Address - Phone:763-572-9199
Mailing Address - Fax:763-572-9209
Practice Address - Street 1:999 50TH AVE NE
Practice Address - Street 2:107
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-1900
Practice Address - Country:US
Practice Address - Phone:763-572-9199
Practice Address - Fax:763-572-9209
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor