Provider Demographics
NPI:1265710099
Name:HER, XENG (DC)
Entity type:Individual
Prefix:DR
First Name:XENG
Middle Name:
Last Name:HER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:393 DUNLAP ST N
Mailing Address - Street 2:SUITE 725
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4200
Mailing Address - Country:US
Mailing Address - Phone:651-315-5495
Mailing Address - Fax:651-409-3733
Practice Address - Street 1:393 DUNLAP ST N
Practice Address - Street 2:SUITE 725
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4200
Practice Address - Country:US
Practice Address - Phone:651-315-5495
Practice Address - Fax:651-409-3733
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN5542111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor