Provider Demographics
NPI:1255380960
Name:HOEPNER, JOLENE KAY (DC)
Entity type:Individual
Prefix:DR
First Name:JOLENE
Middle Name:KAY
Last Name:HOEPNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOLENE
Other - Middle Name:KAY
Other - Last Name:PAULSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:802 3RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:MN
Mailing Address - Zip Code:56320-1457
Mailing Address - Country:US
Mailing Address - Phone:612-418-1121
Mailing Address - Fax:320-202-0578
Practice Address - Street 1:3337 W SAINT GERMAIN ST
Practice Address - Street 2:SUITE 109
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-8503
Practice Address - Country:US
Practice Address - Phone:320-202-0577
Practice Address - Fax:320-202-0578
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor