Provider Demographics
NPI:1689614687
Name:HALLIN, CASEY JAMES (DC)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:JAMES
Last Name:HALLIN
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 1:3706 CONROY TRL
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-3109
Mailing Address - Country:US
Mailing Address - Phone:651-306-1535
Mailing Address - Fax:
Practice Address - Street 1:14321 NICOLLET CT
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-4560
Practice Address - Country:US
Practice Address - Phone:952-435-8879
Practice Address - Fax:952-892-3938
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor