Provider Demographics
NPI:1871516757
Name:NASH, PAUL STEPHEN (DC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:STEPHEN
Last Name:NASH
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 1:17 10TH AVE S
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-7505
Mailing Address - Country:US
Mailing Address - Phone:952-541-5669
Mailing Address - Fax:952-927-0178
Practice Address - Street 1:17 10TH AVE S
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-7505
Practice Address - Country:US
Practice Address - Phone:952-541-5669
Practice Address - Fax:952-927-0178
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2285111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4C436CEOtherBCBS CLINIC NUMBER
MN4C438NAOtherBCBS INDIVIDUAL NUMBER
MN36432OtherHEALTH PARTNERS
MN44-87093OtherMEDICA
MN36432OtherHEALTH PARTNERS