Provider Demographics
NPI:1205250610
Name:SAUER, FORREST (DC)
Entity type:Individual
Prefix:
First Name:FORREST
Middle Name:
Last Name:SAUER
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 1:4141 31ST AVE S
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8778
Mailing Address - Country:US
Mailing Address - Phone:701-356-3255
Mailing Address - Fax:
Practice Address - Street 1:4141 31ST. AVE. SO.
Practice Address - Street 2:SUITE 105
Practice Address - City:FARGO
Practice Address - State:MN
Practice Address - Zip Code:58104-9160
Practice Address - Country:US
Practice Address - Phone:701-356-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor