Provider Demographics
NPI:1295500536
Name:HARE, CAYDEN (DC)
Entity type:Individual
Prefix:
First Name:CAYDEN
Middle Name:
Last Name:HARE
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 1:2810 145TH ST W APT 100
Mailing Address - Street 2:
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-4993
Mailing Address - Country:US
Mailing Address - Phone:701-269-4383
Mailing Address - Fax:
Practice Address - Street 1:14260 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5785
Practice Address - Country:US
Practice Address - Phone:877-442-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7143111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty