Provider Demographics
NPI:1851695969
Name:AHMED, CHAD F (DC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:F
Last Name:AHMED
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11560 FETTERLY LN
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-2917
Mailing Address - Country:US
Mailing Address - Phone:612-824-4286
Mailing Address - Fax:612-824-4285
Practice Address - Street 1:3249 HENNEPIN AVE STE 255
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3441
Practice Address - Country:US
Practice Address - Phone:612-824-4286
Practice Address - Fax:612-824-4285
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN908171100000X
MN5444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist