Organization
CHIROPRACTIC SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R COOK DC (OWNER)
(952) 492-6363
Entity
Organization
Contact information
Practice address
212 2ND ST E, SUITE 100, JORDAN, MN 55352-1449
(952) 492-6363
(952) 492-5129
Mailing address
212 2ND ST E, SUITE 100, JORDAN, MN 55352-1449
(952) 492-6363
(952) 492-5129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73D29CH
BCBS GROUP NUMBER
MN
Enumeration date
01/23/2007
Last updated
08/22/2020
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