DR. ETHAN LEE SKOG DC
NPI 1811486459
Chiropractor in New Hope, MN

Q: What is Ethan Skog's NPI number?

The NPI number for Ethan Skog is 1811486459. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Q: What is Ethan Skog's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Skog was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2018

4900 HIGHWAY 169 N STE 301, NEW HOPE, MN 55428(763) 496-7871 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2020, Aug 21, 2019, Jul 12, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Ethan Lee Skog Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN LEE SKOG DC (NPI 1811486459) is an individual chiropractor in New Hope, Minnesota, licensed in Minnesota (6473) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1811486459

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. ETHAN LEE SKOGCredential: DC

Location Address4900 HIGHWAY 169 N STE 301New Hope, MN 55428-4019

Mailing Address4900 Highway 169 N Ste 301New Hope, MN 55428-4019 · (763) 496-7871

Phone(763) 496-7871

Sole ProprietorNo

Enumeration DateMay 9, 2018

Last NPPES UpdateJanuary 20, 20204 updates tracked since enumeration

✔ NPI 1811486459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 6473

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4900 HIGHWAY 169 N STE 301, New Hope, MN 55428

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S GROUP PC

Chiropractor

4900 HIGHWAY 169 N STE 301
NEW HOPE, MN 55428

Hennepin County (763) 496-7871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Skog's NPI number?

The NPI number for Ethan Skog is 1811486459. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Ethan Skog located?

Ethan Skog practices at 4900 Highway 169 N Ste 301, New Hope, MN 55428. The listed phone number is (763) 496-7871.

What is Ethan Skog's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ethan Skog was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.