Individual
DR. CHAD C HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
124 W MAIN ST, SUITE #4, WACONIA, MN 55387-6000
(952) 442-7075
(952) 442-7086
Mailing address
1223 KINDER DR, WACONIA, MN 55387-9437
(952) 442-7075
(952) 442-7086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
003337
MN
111NX0100X
Occupational Health Chiropractor
Primary
003337
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050M6HE
BLUE CROSS BLUE SHIELD MN
MN
05
—
4489668
—
MN
Enumeration date
03/09/2007
Last updated
09/11/2025
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