Provider Demographics
NPI:1275532483
Name:CLAYTON, SCOTT C (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:CLAYTON
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 1:7239 SAWMILL RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-5000
Mailing Address - Country:US
Mailing Address - Phone:614-761-8115
Mailing Address - Fax:614-761-9993
Practice Address - Street 1:7239 SAWMILL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-5017
Practice Address - Country:US
Practice Address - Phone:614-761-8115
Practice Address - Fax:614-761-9993
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH311236900OtherMEDICAL MUT
OH20472610Medicaid
OH$$$$$$$$$OtherANTHEM, AETNA, UNITED HEALTH CARE, ASHN, GREAT WEST, PHCS
OHCL0582871Medicare ID - Type Unspecified
T48394Medicare UPIN