MEDICARE: DALE EDWARD SCOTT JR. DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0103727	KS

General Provider Information

NPI Number	:	1013924521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALE EDWARD SCOTT JR. DC

Provider Business Mailing Address
First Line	:	7940 PARALLEL PKWY
Second Line	:	#3
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2050
Country	:	US
Telephone Number	:	913-299-8090
Fax Number	:	913-299-8064

Provider Business Practice Location Address
First Line	:	7940 PARALLEL PKWY
Second Line	:	#3
City	:	KANSAS CITY
State	:	KS
Zip	:	66112
Country	:	US
Telephone Number	:	913-299-8090
Fax Number	:	913-299-8064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/22/2010

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