Provider Demographics
NPI:1275669434
Name:PACHL, DONALD J (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:J
Last Name:PACHL
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 1:4147 FREMONT AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-1626
Mailing Address - Country:US
Mailing Address - Phone:612-588-6813
Mailing Address - Fax:612-522-6813
Practice Address - Street 1:4147 FREMONT AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-1626
Practice Address - Country:US
Practice Address - Phone:612-588-6813
Practice Address - Fax:612-522-6813
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2128931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor