Provider Demographics
NPI:1306846365
Name:SKONHOVD, AARON JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JAMES
Last Name:SKONHOVD
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 1:3309 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-5334
Mailing Address - Country:US
Mailing Address - Phone:605-361-7799
Mailing Address - Fax:605-838-3806
Practice Address - Street 1:3309 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-5334
Practice Address - Country:US
Practice Address - Phone:605-361-7799
Practice Address - Fax:605-838-3806
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD41565Medicare ID - Type Unspecified