Individual
DR. SCOTT EDWARD ELLINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
202 LAKE AVENUE SOUTH, BATTLE LAKE, MN 56515-0627
(218) 864-5813
(218) 864-5813
Mailing address
202 LAKE AVENUE SOUTH, BATTLE LAKE, MN 56515-0632
(218) 864-5813
(218) 864-5813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2317
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C049BA
BLUE CROSS BLUE SHIELD
MN
05
—
564028800
—
MN
Enumeration date
02/15/2007
Last updated
02/27/2013
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