Provider Demographics
NPI:1962565507
Name:COHN, STEVEN MARC (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARC
Last Name:COHN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 MINNETONKA BLVD
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2214
Mailing Address - Country:US
Mailing Address - Phone:952-933-2663
Mailing Address - Fax:952-933-2673
Practice Address - Street 1:4833 MINNETONKA BLVD
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2214
Practice Address - Country:US
Practice Address - Phone:952-933-2663
Practice Address - Fax:952-933-2673
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC03541OtherMEDICARE GROUP ID
MNC03541OtherMEDICARE GROUP ID