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Contact Information

COOLEY CHIROPRACTIC CLINIC, INC.
5722 HOMESTEAD RD
DULUTH, MN55804
 Phone: 218-525-3630
 Fax: 218-525-3914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for COOLEY CHIROPRACTIC CLINIC, INC.

NPI Number 1912121708
LBN Legal business name COOLEY CHIROPRACTIC CLINIC, INC.
Authorized official MARY COOLEY - (DOCTOR OF CHIROPRACTIC OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 01/24/2011 - About 15 years ago
Identifiers
MN License # 2079
MN Other 74407CO BCBS
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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