COOLEY CHIROPRACTIC CLINIC, INC. (NPI# 1912121708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912121708 |
| Entity Type | Organization |
| Organization Name | COOLEY CHIROPRACTIC CLINIC, INC. |
| Practice Address |
5722 Homestead Rd Duluth MN 55804 |
| Mailing Address |
5722 Homestead Road Duluth MN 55804 |
| Practice Telephone | 2185253630 |
| Practice Fax Number | 2185253914 |
| Mailing Telephone | 2185253630 |
| Mailing Fax Number | 2185253914 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | MARY CLARE COOLEY (DOCTOR OF CHIROPRACTIC OWNER) |
| Authorized Official Telephone | 2185253630 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2079 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 74407CO | 01 |
| Street Address |
5722 HOMESTEAD RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629161658 | Robert John Horoshak | Dentist | 5722 Homestead Rd, Duluth, MN 55804-9661 | 2006-10-02 |
| 1003956533 | Mary Clare Cooley | Chiropractor | 5722 Homestead Rd, Duluth, MN 55804-9661 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235593591 | Michelle Leblanc | Speech-Language Pathologist | 5017 London Rd., Duluth, MN 55804 | 2016-04-12 |
| 1346541075 | Christina Finlo | Marriage & Family Therapist | 4849 Ivanhoe St, Duluth, MN 55804 | 2010-11-11 |
| 1821301623 | Rachel Gabrielle Ashford | Social Worker | 5107 E Superior St, Duluth, MN 55804 | 2010-07-21 |
| 1932381423 | Janet Florence Lewis | Registered Nurse | 4231 Dodge Street, Duluth, MN 55804 | 2007-11-27 |
| 1245419894 | Ernest Carl Hansen | Physical Therapist | 4002 London Rd., Duluth, MN 55804 | 2007-10-31 |
| 1316011596 | Melissa J. Janzen | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2006-11-20 |
| 1861406522 | Susan Klee Anderson | Family Medicine | 4621 E Superior St., Duluth, MN 55804 | 2006-07-28 |
| 1104886977 | Sarah Adeen Ziring | Physical Therapist | 4621 E Superior St, Duluth, MN 55804 | 2006-03-24 |
| 1285831040 | Janzen Chiropractic Pa | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2007-06-27 |
| 1518971118 | Erik J Sather | Family Medicine | 4621 E Superior St, Duluth, MN 55804 | 2006-07-28 |
| Find all providers in zip 55804 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034591 | Chantelle Frazier | Chiropractor | 2131 Pleasant Hill Rd Ste 122, Duluth, GA 30096-4657 | 2020-08-18 |
| 1396371571 | Northern Lakes Chiropractic LLC | Chiropractor | 2340 Mountain Shadow Dr, Duluth, MN 55811-3809 | 2020-03-19 |
| 1578113973 | Chester Creek Chiropractic | Chiropractor | 1324 E 4th St Ste A, Duluth, MN 55805-2335 | 2019-09-17 |
| 1467007997 | Pleasant Hill Chiropractic | Chiropractor | 4390 Pleasant Hill Rd Ste G, Duluth, GA 30096-8054 | 2019-08-01 |
| 1851951024 | Marian Denisse Ortiz Rodriguez | Chiropractor | 3775 Venture Dr Bldg F, Duluth, GA 30096-5102 | 2019-06-19 |
| 1396234613 | Sangsoo Lee | Chiropractor | 2148 Duluth Highway 120 Ste 110, Duluth, GA 30097-4504 | 2018-05-02 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1942708235 | Kyle Severson | Chiropractor | 224 E Central Entrance Ste C, Duluth, MN 55811-5518 | 2018-02-01 |
| 1669987228 | Frances Hearn | Chiropractor | 2719 Irene Cir, Duluth, GA 30096-4149 | 2017-12-05 |
| 1467966911 | Corey Steven Milbrandt | Chiropractor | 925 E Superior St Ste 112, Duluth, MN 55802-2253 | 2017-11-20 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.