Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1861 | MN |
NPI | 1427061563 |
---|---|
Provider Name | Dr. Scott Linnell Stinson |
First Address | Inver Grove Heights, MN 55076-1670 |
Second Address | Inver Grove Heights, MN 55076-1670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
24G82ST | BCBSMN (01) | MN |
350049425 | RR MEDICARE (01) | |
4532072 | MN CARE (01) | MN |
465027100 | (05) | MN |
T39256 | (02) | MN |