Provider Demographics
NPI:1548058217
Name:HORAK, KHRISTIAN CONSTANT (DC)
Entity type:Individual
Prefix:DR
First Name:KHRISTIAN
Middle Name:CONSTANT
Last Name:HORAK
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 RUM RIVER DR N STE A
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-1609
Mailing Address - Country:US
Mailing Address - Phone:763-631-2226
Mailing Address - Fax:
Practice Address - Street 1:209 RUM RIVER DR N STE A
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MN
Practice Address - Zip Code:55371-1609
Practice Address - Country:US
Practice Address - Phone:763-631-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor