Provider Demographics
NPI:1821083957
Name:SPAULDING, CHAD F (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:F
Last Name:SPAULDING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:320-203-2113
Practice Address - Street 1:2251 CONNECTICUT AVENUE S
Practice Address - Street 2:HP CENTRAL MN CLINICS
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-2486
Practice Address - Country:US
Practice Address - Phone:320-253-5220
Practice Address - Fax:320-203-2113
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2011-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN3792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNU81493Medicare UPIN
MN350002169Medicare ID - Type Unspecified