Provider Demographics
NPI:1689298515
Name:CORNERSTONE SPINAL CARE, INC
Entity Type:Organization
Organization Name:CORNERSTONE SPINAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LUKE
Authorized Official - Last Name:FIELHABER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-852-2800
Mailing Address - Street 1:1350 20TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-6452
Mailing Address - Country:US
Mailing Address - Phone:701-852-2800
Mailing Address - Fax:701-837-0175
Practice Address - Street 1:1350 20TH AVE SW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-6452
Practice Address - Country:US
Practice Address - Phone:701-852-2800
Practice Address - Fax:701-837-0175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-06
Last Update Date:2020-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty