Healthcare Provider Details

I. General information

NPI: 1710038054
Provider Name (Legal Business Name): JOSEPH J SCOTT, D.C., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 S LINCOLN AVE
SALEM OH
44460-4256
US

IV. Provider business mailing address

1830 S LINCOLN AVE
SALEM OH
44460-4256
US

V. Phone/Fax

Practice location:
  • Phone: 330-332-4307
  • Fax: 330-332-5757
Mailing address:
  • Phone: 330-332-4307
  • Fax: 330-332-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number3187
License Number StateOH

VIII. Authorized Official

Name: DR. JOSEPH JOHN SCOTT
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: D.C.
Phone: 330-332-4307