Provider Demographics
NPI:1659311637
Name:FOLEY, CHIRSTOPHER JAMES (DC)
Entity Type:Individual
Prefix:MR
First Name:CHIRSTOPHER
Middle Name:JAMES
Last Name:FOLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:J
Other - Last Name:FOLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC PA
Mailing Address - Street 1:8700 W 36TH ST STE 140
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-3906
Mailing Address - Country:US
Mailing Address - Phone:612-730-4091
Mailing Address - Fax:952-925-1394
Practice Address - Street 1:8700 W 36TH ST STE 140
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-3906
Practice Address - Country:US
Practice Address - Phone:612-730-4091
Practice Address - Fax:952-925-1394
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3650111N00000X
MN468171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
72739Medicare UPIN