Provider Demographics
NPI:1871770479
Name:HYNAN CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:HYNAN CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HYNAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-222-7331
Mailing Address - Street 1:475 UNIVERSITY AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1959
Mailing Address - Country:US
Mailing Address - Phone:651-222-7331
Mailing Address - Fax:
Practice Address - Street 1:475 UNIVERSITY AVE W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-1959
Practice Address - Country:US
Practice Address - Phone:651-222-7331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC00974Medicare PIN