Provider Demographics
NPI:1912112855
Name:DANIEL EVANSON INC.
Entity Type:Organization
Organization Name:DANIEL EVANSON INC.
Other - Org Name:HANDS ON HEALTH FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:HOLM
Authorized Official - Last Name:EVANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-431-3133
Mailing Address - Street 1:14750 CEDAR AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-4506
Mailing Address - Country:US
Mailing Address - Phone:952-431-3133
Mailing Address - Fax:
Practice Address - Street 1:14750 CEDAR AVE
Practice Address - Street 2:STE 104
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4506
Practice Address - Country:US
Practice Address - Phone:952-431-3133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty