Healthcare Provider Details

I. General information

NPI: 1962480954
Provider Name (Legal Business Name): SCOTT LEE SCHERER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 11/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HERDER ST
GUTTENBERG IA
52052-9455
US

IV. Provider business mailing address

PO BOX 28
GUTTENBERG IA
52052-0028
US

V. Phone/Fax

Practice location:
  • Phone: 563-252-2772
  • Fax: 563-252-2771
Mailing address:
  • Phone: 563-252-2772
  • Fax: 563-252-2771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number06302
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: