Healthcare Provider Details

I. General information

NPI: 1194717074
Provider Name (Legal Business Name): SCOTT THOMAS VOORHIES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 01/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9928 BREWSTER LN
POWELL OH
43065-7571
US

IV. Provider business mailing address

9928 BREWSTER LN
POWELL OH
43065-7571
US

V. Phone/Fax

Practice location:
  • Phone: 614-336-9481
  • Fax: 614-336-9482
Mailing address:
  • Phone: 614-336-9481
  • Fax: 614-336-9482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3366
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: