Provider Demographics
NPI:1427061563
Name:STINSON, SCOTT LINNELL (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:LINNELL
Last Name:STINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6115 CAHILL AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-1670
Mailing Address - Country:US
Mailing Address - Phone:651-451-7222
Mailing Address - Fax:651-451-1720
Practice Address - Street 1:6115 CAHILL AVE
Practice Address - Street 2:STE 100
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-1670
Practice Address - Country:US
Practice Address - Phone:651-451-7222
Practice Address - Fax:651-451-1720
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1861111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN465027100Medicaid
350049425OtherRR MEDICARE
MN24G82STOtherBCBSMN
MN4532072OtherMN CARE
350002178Medicare ID - Type Unspecified
MN465027100Medicaid