Provider Demographics
NPI:1568841369
Name:ZEN CHIROPRACTIC INC
Entity Type:Organization
Organization Name:ZEN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATSUDA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-500-8733
Mailing Address - Street 1:4570 W 77TH ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4570 W 77TH ST
Practice Address - Street 2:SUITE 140
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5008
Practice Address - Country:US
Practice Address - Phone:952-500-7833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty