Provider Demographics
NPI:1558495192
Name:HOERNEMANN, JANELL LYNN (DC)
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:LYNN
Last Name:HOERNEMANN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JANELL
Other - Middle Name:LYNN
Other - Last Name:STIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:727 DELAWARE ST SW
Mailing Address - Street 2:
Mailing Address - City:LONSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55046-8506
Mailing Address - Country:US
Mailing Address - Phone:507-744-4646
Mailing Address - Fax:
Practice Address - Street 1:205 DIVISION STREET
Practice Address - Street 2:NOBLE CHIROPRACTIC CLINIC PA
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-2014
Practice Address - Country:US
Practice Address - Phone:507-645-8242
Practice Address - Fax:804-645-8242
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
121T4STOtherCOMP CARE SERVICES CCS
623838OtherHEALTH PARTNERS
121T4STOtherBLUE CROSS BLUE SHIELD
623838OtherAMERICAN CHIRO NETWORK
623838OtherMEDICA
623838OtherUCARE
623838OtherUNITED HEALTHCARE
0846OtherPREFERRED ONE
0846OtherHEALTH SERVICES MGMT
0846OtherCIGNA
623838OtherHEALTH PARTNERS