Organization
COOK CHIROPRACTIC CENTER LTD.
Active
Other names
Horoshak Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SCOTT HOROSHAK DC (OWNER DOCTOR)
(218) 666-5104
Entity
Organization
Contact information
Practice address
19 E VERMILION DR, PO 395, COOK, MN 55723
(218) 666-5104
(218) 749-1570
Mailing address
19 E VERMILION DR, PO 395, COOK, MN 55723
(218) 666-5104
(218) 749-1570
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3729
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350047055
RR MEDICARE
—
01
—
607585
MEDICA
—
01
—
63D99L0
BC
—
Enumeration date
09/28/2006
Last updated
08/07/2009
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