Provider Demographics
NPI:1861563264
Name:KOSLOWSKI CHIROPRACTIC INC
Entity type:Organization
Organization Name:KOSLOWSKI CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC TREASURER OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:ROLANDE
Authorized Official - Last Name:KOSLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-379-4043
Mailing Address - Street 1:312 CENTRAL AVENUE SE
Mailing Address - Street 2:SUITE 468
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-1096
Mailing Address - Country:US
Mailing Address - Phone:612-379-4043
Mailing Address - Fax:612-379-4398
Practice Address - Street 1:312 CENTRAL AVENUE SE
Practice Address - Street 2:SUITE 468
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-1096
Practice Address - Country:US
Practice Address - Phone:612-379-4043
Practice Address - Fax:612-379-4398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0H125KOOtherBLUE CROSS BLUE SHIELD
U08291Medicare UPIN