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COOLEY CHIROPRACTIC CLINIC INC. NPI 1912121708


NPI Information

NPI: 1912121708
Provider Name: COOLEY CHIROPRACTIC CLINIC, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5722 HOMESTEAD RD
DULUTH, MN
ZIP 55804
Phone: (218) 525-3630
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COOLEY CHIROPRACTIC CLINIC, INC. is a chiropractor in Duluth, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. COOLEY CHIROPRACTIC CLINIC, INC. NPI is 1912121708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5722 HOMESTEAD RD
DULUTH, MN
ZIP 55804
Phone: (218) 525-3630
Fax: (218) 525-3914

The provider's authorized official is Mary Clare Cooley .
The authorized official title is Doctor Of Chiropractic Owner and has the following contact phone number (218) 525-3630.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 1/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2079MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1359000847MEDICARE PINMINNESOTA
2T65422MEDICARE UPINMINNESOTA
3350010081MEDICARE PINMINNESOTA
474407COOTHERMINNESOTABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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