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NPI Code Detail

MEDICARE: DR. STEVEN MARC COHN D.C.

MEDICARE: DR. STEVEN MARC COHN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4025MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C03541OTHERMNMEDICARE GROUP ID

General Provider Information

NPI Number : 1962565507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN MARC COHN D.C.
Provider Business Mailing Address
First Line : 4833 MINNETONKA BLVD
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-2214
Country : US
Telephone Number : 952-933-2663
Fax Number : 952-933-2673
Provider Business Practice Location Address
First Line : 4833 MINNETONKA BLVD
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-2214
Country : US
Telephone Number : 952-933-2663
Fax Number : 952-933-2673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 01/18/2023

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