Ketterling, Scott Philip
Ketterling, Scott Philip is an individual health care provider with primary practice located at 217 Plum St Suite 120, Red Wing MN 55066-2351. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ketterling, Scott Philip can be contacted via phone (651) 385-5999.Contact Information
Primary practice address
217 Plum St Suite 120
Red Wing MN 55066-2351
Phone: (651) 385-5999
Fax: (651) 385-5999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 003487 | Minnesota |
Profile Details
| NPI number | 1609927656 |
|---|---|
| LBN Legal business name | Ketterling, Scott Philip |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Mar 28th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609927656 | NPPES |
| Minnesota | MEDICAID | 126667500 |
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