Organization
NOKOMIS CHIROPRACTIC CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN W OLSON D.C. (CEO)
(612) 822-0149
Entity
Organization
Contact information
Practice address
5313 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1229
(612) 822-0149
(612) 822-7441
Mailing address
5313 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1229
(612) 822-0149
(612) 822-7441
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2735
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71102NO
BCBS CLINIC ID
MN
Enumeration date
11/15/2006
Last updated
08/22/2020
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