Cook Chiropractic Center LTD.
Organization Active NPI Chiropractor · Cook, MN
NPI 1164514493 · NPPES record last updated Aug 7, 2009
Key facts
- NPI
- 1164514493
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3729 (MN)
- Legal business name
- COOK CHIROPRACTIC CENTER LTD.
- Practice address
- 19 E Vermilion Dr
PO 395
Cook, MN 55723 - Phone
- (218) 666-5104
- Fax
- (218) 749-1570
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Bradley Scott Horoshak, DC
- Title
- Owner Doctor
- Phone
- (218) 666-5104
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3729 | MN | Yes |
Addresses
Primary practice location
19 E Vermilion Dr
PO 395
Cook, MN 55723
Mailing address
19 E Vermilion Dr
PO 395
Cook, MN 55723
Phone (218) 666-5104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607585 | Other | MEDICA | |
| 63D99L0 | Other | BC | |
| 350047055 | Other | RR MEDICARE |
Other names
- Horoshak Chiropractic
Other providers in Cook, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2009. 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.