Provider Demographics
NPI:1033134291
Name:SCARFFE, ANGELA RENEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:RENEE
Last Name:SCARFFE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 E MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MI
Mailing Address - Zip Code:48611-9751
Mailing Address - Country:US
Mailing Address - Phone:989-662-0100
Mailing Address - Fax:989-662-4763
Practice Address - Street 1:306 E MIDLAND RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MI
Practice Address - Zip Code:48611-9751
Practice Address - Country:US
Practice Address - Phone:989-662-0100
Practice Address - Fax:989-662-4763
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI06-1646894OtherTAX ID