Provider Demographics
NPI:1003858838
Name:SCOTTING CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SCOTTING CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTTING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-242-9001
Mailing Address - Street 1:2505 FORESIGHT CIR
Mailing Address - Street 2:UNIT D
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1007
Mailing Address - Country:US
Mailing Address - Phone:970-242-9001
Mailing Address - Fax:
Practice Address - Street 1:2505 FORESIGHT CIR
Practice Address - Street 2:UNIT D
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1007
Practice Address - Country:US
Practice Address - Phone:970-242-9001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty