Provider Demographics
NPI:1679586663
Name:ARNESON, SCOTT (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:ARNESON
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 1:6500 BARRIE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2348
Mailing Address - Country:US
Mailing Address - Phone:952-562-2420
Mailing Address - Fax:
Practice Address - Street 1:6500 BARRIE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2348
Practice Address - Country:US
Practice Address - Phone:952-562-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN529P1AROtherBCBS PROVIDER #
MN522P1FLOtherBCBS GROUP #
MNC04227Medicare UPIN