MEDICARE: DR. SHAWN A SCOTT 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	19978	CA

General Provider Information

NPI Number	:	1629101571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAWN A SCOTT DC

Provider Business Mailing Address
First Line	:	73280 EL PASEO
Second Line	:	#3
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4233
Country	:	US
Telephone Number	:	760-340-0100
Fax Number	:	760-340-1125

Provider Business Practice Location Address
First Line	:	73280 EL PASEO
Second Line	:	#3
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4233
Country	:	US
Telephone Number	:	760-340-0100
Fax Number	:	760-340-1125

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. SHAWN A SCOTT DC” Practice Location

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