Healthcare Provider Details

I. General information

NPI: 1356309066
Provider Name (Legal Business Name): SCOTT LINDSEY OMMERT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 CLEVELAND ROAD
NORWALK OH
44857-9022
US

IV. Provider business mailing address

199 CLEVELAND ROAD
NORWALK OH
44857-9022
US

V. Phone/Fax

Practice location:
  • Phone: 419-663-5200
  • Fax: 419-663-3333
Mailing address:
  • Phone: 419-663-5200
  • Fax: 419-663-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2195
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: