Ethan Lee Skog, DC

Chiropractor · New Hope, MN

Individual Active NPI

NPI number 1811486459

Practice location

4900 Highway 169 N Ste 301
New Hope, MN 55428-4019
Phone
(763) 496-7871

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NPI record

NPI
1811486459
Entity type
Individual (Type 1)
Enumeration date
May 9, 2018
Last updated
January 20, 2020
Certified
January 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 6473 MN

About Dr. Skog

Ethan Lee Skog, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 4900 Highway 169 N Ste 301, New Hope, MN 55428-4019. The NPI number 1811486459 was assigned on May 9, 2018 and the record was last updated on January 20, 2020.

Dr. Skog lists a license in the registry: #6473 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Lee Skog, DC?

The NPI number is 1811486459.

What is the phone number of Dr. Skog?

The phone number listed for the practice location is (763) 496-7871.

Where is Dr. Skog located?

4900 Highway 169 N Ste 301, New Hope, MN 55428-4019.

What is the taxonomy code for Dr. Skog?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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