Provider Demographics
NPI:1871891523
Name:CORNERSTONE HEALTH AND WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:CORNERSTONE HEALTH AND WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MORLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-949-0676
Mailing Address - Street 1:7300 147TH ST. W
Mailing Address - Street 2:SUITE 304
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7538
Mailing Address - Country:US
Mailing Address - Phone:952-431-5330
Mailing Address - Fax:952-431-5334
Practice Address - Street 1:7300 147TH ST. W
Practice Address - Street 2:SUITE 304
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7538
Practice Address - Country:US
Practice Address - Phone:952-431-5330
Practice Address - Fax:952-431-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
MN4555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty