Provider Demographics
NPI:1447274006
Name:RINNE, SCOTT STEVEN (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:STEVEN
Last Name:RINNE
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:PO BOX 511
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:MN
Mailing Address - Zip Code:55328-0511
Mailing Address - Country:US
Mailing Address - Phone:763-972-3340
Mailing Address - Fax:763-972-1370
Practice Address - Street 1:120 BRIDGE AVE E
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:MN
Practice Address - Zip Code:55328
Practice Address - Country:US
Practice Address - Phone:763-972-3340
Practice Address - Fax:763-972-1370
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN691427OtherCHIROCARE
MN276979400Medicaid
MN691437OtherUCARE
MN691437OtherMEDICA
MN0287000044OtherHSM
MN212P9RIOtherBCBS