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Contact Information

COOK CHIROPRACTIC CENTER LTD.
19 E VERMILION DR
PO 395
COOK, MN55723
 Phone: 218-666-5104
 Fax: 218-749-1570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for COOK CHIROPRACTIC CENTER LTD.

NPI Number 1164514493
LBN Legal business name COOK CHIROPRACTIC CENTER LTD.
Authorized official BRADLEY HOROSHAK - (OWNER DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 08/07/2009 - About 17 years ago
Identifiers
MN License # 3729
Other 63D99L0 BC
Other 607585 MEDICA
Other 350047055 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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