MEDICARE: DR. ROSEMARIE ANN SCOTTT D.C.

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	08000843A	IN
2	111N00000X	Chiropractor	L557711	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000182246	OTHER	IN	BLUE CROSS

General Provider Information

NPI Number	:	1255327961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSEMARIE ANN SCOTTT D.C.

Provider Business Mailing Address
First Line	:	5880 N 175 W
Second Line	:
City	:	HOWE
State	:	IN
Zip	:	46746-9404
Country	:	US
Telephone Number	:	260-768-4324
Fax Number	:

Provider Business Practice Location Address
First Line	:	935 N VAN BUREN ST
Second Line	:	SUITE 2
City	:	SHIPSHEWANA
State	:	IN
Zip	:	46565-8702
Country	:	US
Telephone Number	:	260-768-4061
Fax Number	:

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	06/23/2015

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Directions to “ DR. ROSEMARIE ANN SCOTTT D.C.” Practice Location

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