Skog, Ethan Lee

Skog, Ethan Lee is an individual health care provider with primary practice located at 4900 Highway 169 N Ste 301 , New Hope MN 55428-4019. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Skog, Ethan Lee can be contacted via phone (763) 496-7871.

Contact Information

Primary practice address
4900 Highway 169 N Ste 301 New Hope MN 55428-4019
Phone: (763) 496-7871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6473 Minnesota

Profile Details

NPI number 1811486459
LBN Legal business name Skog, Ethan Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated Jan 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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