Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811486459 Individual Practitioner Male Practitioner

Dr. Ethan Lee Skog , DC

Chiropractor • New Hope, MN

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Skog, DC is a registered healthcare professional specializing in Chiropractor in New Hope, MN. Practice services are available at 4900 HIGHWAY 169 N STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4900 Highway 169 N Ste 301

New Hope, MN 554284019

Telephone 7634967871
Associated Practice Facility / Clinic
🏢 S Group Pc Facility NPI 1447807813

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in New Hope, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
12 Specialists

Practicing in New Hope, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-20
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 6473

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 20, 2020

Registered at 4900 HIGHWAY 169 N STE 301, NEW HOPE, MN 554284019 (Tel: 7634967871)

📍
Updated Business Mailing Address January 20, 2020

Registered at 4900 HIGHWAY 169 N STE 301, NEW HOPE, MN 554284019 (Tel: 7634967871)

📍
Updated Business Mailing Address August 21, 2019

Registered at 2859 RIVERBANK DR NW, ISANTI, MN 550404326 (Tel: 7634967871)

📍
Updated Practice Location July 12, 2018

Registered at 9220 BASS LAKE RD STE 245, MINNEAPOLIS, MN 55428 (Tel: 7635151037)

📍
Updated Business Mailing Address July 12, 2018

Registered at 9220 BASS LAKE RD STE 245, MINNEAPOLIS, MN 554283018 (Tel: 7635151037)

NPI Profile Active May 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2018

Registered at 2859 RIVERBANK DR NW, ISANTI, MN 550404326 (Tel: 7634967871)

📍
Updated Business Mailing Address May 09, 2018

Registered at 2859 RIVERBANK DR NW, ISANTI, MN 550404326 (Tel: 7634967871)

👤
Provider Name / Credentials Updated May 09, 2018

Recorded as ETHAN SKOG, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2018

Chiropractor (License #6473 in MN)

🟢
Initial NPI Registration & Enumeration May 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811486459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2018
Last Update: January 20, 2020
Sole Proprietor: No

Mailing Address

4900 Highway 169 N Ste 301

New Hope, MN 554284019

Phone: 7634967871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.