Eric A Ayen, D.C.
Individual provider Active NPI Chiropractor · Byron, MN
NPI 1366975484 · NPPES record last updated Apr 5, 2017
Key facts
- NPI
- 1366975484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6358 (MN)
- Practice address
- 1067 4TH St NE
Suite 200
Byron, MN 55920-5002 - Phone
- (507) 358-9729
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6358 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6358 | MN | Yes |
Addresses
Primary practice location
1067 4TH St NE
Suite 200
Byron, MN 55920-5002
Mailing address
1050 Maplebeck PL NE
Byron, MN 55920-1584
Phone (507) 358-9729
Other providers in Byron, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.