Provider Demographics
NPI:1477879716
Name:SAGGAU CHIROPRACTIC CLINIC, LTD.
Entity Type:Organization
Organization Name:SAGGAU CHIROPRACTIC CLINIC, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SAGGAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-625-9060
Mailing Address - Street 1:83 NAVAHO AVE
Mailing Address - Street 2:#26
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-4832
Mailing Address - Country:US
Mailing Address - Phone:507-625-9060
Mailing Address - Fax:507-625-2350
Practice Address - Street 1:83 NAVAHO AVE
Practice Address - Street 2:#26
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4832
Practice Address - Country:US
Practice Address - Phone:507-625-9060
Practice Address - Fax:507-625-2350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3317261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center