Provider Demographics
NPI:1306041785
Name:OAK SPRINGS CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:OAK SPRINGS CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALONEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-739-2500
Mailing Address - Street 1:1015 HELMO AVE N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-6032
Mailing Address - Country:US
Mailing Address - Phone:651-739-2500
Mailing Address - Fax:651-739-9698
Practice Address - Street 1:1015 HELMO AVE N
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-6032
Practice Address - Country:US
Practice Address - Phone:651-739-2500
Practice Address - Fax:651-739-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4141111N00000X
MN4405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty