Provider Demographics
NPI:1568569010
Name:NORINE, JOSHUA STEVEN (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:STEVEN
Last Name:NORINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 S 7TH ST
Mailing Address - Street 2:1522
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1626
Mailing Address - Country:US
Mailing Address - Phone:612-743-4343
Mailing Address - Fax:651-636-4406
Practice Address - Street 1:2151 HAMLINE AVE N
Practice Address - Street 2:111
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4236
Practice Address - Country:US
Practice Address - Phone:651-636-5560
Practice Address - Fax:651-636-4406
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN60M69NOOtherBLUE CROSS BLUE SHIELD
MN98788OtherHEALTH PARTNERS#
MN4488466OtherMEDICA PROVIDER #
MN60M71NOOtherBLUE CROSS BLUE SHIELD