Provider Demographics
NPI:1841325826
Name:HAN-LINDEMYER, ERIK BRIAN (DC)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:BRIAN
Last Name:HAN-LINDEMYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4678 SLATER RD
Mailing Address - Street 2:WENTWORTH PARK
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2362
Mailing Address - Country:US
Mailing Address - Phone:651-905-0330
Mailing Address - Fax:651-905-0425
Practice Address - Street 1:4678 SLATER RD
Practice Address - Street 2:WENTWORTH PARK
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2362
Practice Address - Country:US
Practice Address - Phone:651-905-0330
Practice Address - Fax:651-905-0425
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4179111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN043602272OtherHEALTHPARTNERS
MN043602272OtherUNITED HEALTHCARE
MN124M8GEOtherBLUE CROSS BLUE SHIELD
MN043602272OtherPREFERRED ONE
MS4332814-00OtherSTATE OF MN HUMAN SERVICE
MN4332814-00Medicaid
MN043602272OtherHEALTHPARTNERS