Provider Demographics
NPI:1821247610
Name:STILLPOINT OSTEOPATHIC, LTD.
Entity Type:Organization
Organization Name:STILLPOINT OSTEOPATHIC, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:952-920-0846
Mailing Address - Street 1:3601 PARK CENTER BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2525
Mailing Address - Country:US
Mailing Address - Phone:952-920-0846
Mailing Address - Fax:
Practice Address - Street 1:3601 PARK CENTER BLVD STE 308
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2525
Practice Address - Country:US
Practice Address - Phone:952-920-0846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center