MEDICARE: DR. DAVID SCOTT MILOT 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	0104001366	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	177083	OTHER	VA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1376600858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SCOTT MILOT D.C.

Provider Business Mailing Address
First Line	:	7504 GRANBY STREET
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505
Country	:	US
Telephone Number	:	757-588-8908
Fax Number	:	757-583-3069

Provider Business Practice Location Address
First Line	:	7502 GRANBY ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-3427
Country	:	US
Telephone Number	:	757-588-8908
Fax Number	:	757-583-3069

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/08/2007

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