Knutson, Scott

Knutson, Scott is an individual health care provider with primary practice located at 6625 Lyndale Ave S Ste 105 , Richfield MN 55423-2673. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Knutson, Scott can be contacted via phone (612) 788-8778.

Contact Information

Primary practice address
6625 Lyndale Ave S Ste 105 Richfield MN 55423-2673
Phone: (612) 788-8778
Fax: (612) 869-3473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 427 Minnesota

Profile Details

NPI number 1679578157
LBN Legal business name Knutson, Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 22nd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679578157 NPPES
Iowa MEDICAID 0491043
Iowa Other 0808750001
Iowa MEDICAID 236266000
Iowa Other 480000572
Iowa MEDICAID 213825500
Iowa Other C02581
Iowa Other P00309735
Iowa Other CS1038

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