Provider Demographics
NPI:1104857275
Name:SCOTT E. GRIFFIN, D.C., INC.
Entity Type:Organization
Organization Name:SCOTT E. GRIFFIN, D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-396-6343
Mailing Address - Street 1:923 SUMMER DR
Mailing Address - Street 2:
Mailing Address - City:CAREY
Mailing Address - State:OH
Mailing Address - Zip Code:43316-3503
Mailing Address - Country:US
Mailing Address - Phone:419-396-6343
Mailing Address - Fax:419-396-3098
Practice Address - Street 1:923 SUMMER DR
Practice Address - Street 2:
Practice Address - City:CAREY
Practice Address - State:OH
Practice Address - Zip Code:43316-3503
Practice Address - Country:US
Practice Address - Phone:419-396-6343
Practice Address - Fax:419-396-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty