Provider Demographics
NPI:1992727275
Name:HOPFINGER, SCOTT RYAN (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:RYAN
Last Name:HOPFINGER
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 1:405 8TH AVE NW
Mailing Address - Street 2:STE. #325
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-2762
Mailing Address - Country:US
Mailing Address - Phone:605-725-5100
Mailing Address - Fax:605-725-5101
Practice Address - Street 1:405 8TH AVE NW
Practice Address - Street 2:STE. #325
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-2762
Practice Address - Country:US
Practice Address - Phone:605-725-5100
Practice Address - Fax:605-725-5101
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7601950Medicaid
SDU99485Medicare UPIN
SDS41980Medicare PIN