Provider Demographics
NPI:1942388632
Name:CONE CHIROPRACTIC, LTD
Entity Type:Organization
Organization Name:CONE CHIROPRACTIC, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-454-4898
Mailing Address - Street 1:801 W SARNIA ST
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-2510
Mailing Address - Country:US
Mailing Address - Phone:507-454-4898
Mailing Address - Fax:507-453-7877
Practice Address - Street 1:801 W SARNIA ST
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-2510
Practice Address - Country:US
Practice Address - Phone:507-454-4898
Practice Address - Fax:507-453-7877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3870201-00Medicaid
MN3870201-00Medicaid
MN350002694Medicare ID - Type Unspecified