Provider Demographics
NPI:1174704969
Name:STROKER, SCOTT GILBERT (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:GILBERT
Last Name:STROKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MAGNOLIA SQUARE CT
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-2226
Mailing Address - Country:US
Mailing Address - Phone:910-944-1481
Mailing Address - Fax:910-944-1481
Practice Address - Street 1:240 MAGNOLIA SQUARE CT
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2226
Practice Address - Country:US
Practice Address - Phone:910-944-1481
Practice Address - Fax:910-944-1481
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08819OtherCNC
NC641206OtherCIGNA/UHC
NCFH700165OtherFIRST CAROLINA CARE
NC08226OtherBCBS
NCFH700165OtherFIRST CAROLINA CARE
NC641206OtherCIGNA/UHC