Provider Demographics
NPI:1447400825
Name:FAEHN, ERIC OSCAR (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:OSCAR
Last Name:FAEHN
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 1:1971 GENEVA AVE N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-4108
Mailing Address - Country:US
Mailing Address - Phone:612-250-5360
Mailing Address - Fax:651-340-1812
Practice Address - Street 1:1971 GENEVA AVE N
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-4108
Practice Address - Country:US
Practice Address - Phone:612-250-5360
Practice Address - Fax:651-340-1812
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor