Provider Demographics
NPI:1659502086
Name:HASSEN, AYMEN (DC)
Entity Type:Individual
Prefix:DR
First Name:AYMEN
Middle Name:
Last Name:HASSEN
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 1:1113 E FRANKLIN AVE
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2974
Mailing Address - Country:US
Mailing Address - Phone:612-879-9388
Mailing Address - Fax:612-879-0005
Practice Address - Street 1:1113 E FRANKLIN AVE
Practice Address - Street 2:SUITE # 101
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2974
Practice Address - Country:US
Practice Address - Phone:612-879-9388
Practice Address - Fax:612-879-0005
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor