Provider Demographics
NPI:1114164316
Name:SCOTT, ROBERT J (ND)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:SCOTT
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 WINTON ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1252
Mailing Address - Country:US
Mailing Address - Phone:413-204-4116
Mailing Address - Fax:
Practice Address - Street 1:114 WINTON ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1252
Practice Address - Country:US
Practice Address - Phone:413-204-4116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-11
Last Update Date:2009-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath