Provider Demographics
NPI:1275899601
Name:SCOTT M.DELPRETE, D.C.
Entity Type:Organization
Organization Name:SCOTT M.DELPRETE, D.C.
Other - Org Name:DELPRETE CHIROPRACTIC INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:DELPRETE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-883-5858
Mailing Address - Street 1:7100 MENAUL BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3688
Mailing Address - Country:US
Mailing Address - Phone:505-883-5858
Mailing Address - Fax:505-883-0010
Practice Address - Street 1:7100 MENAUL BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3688
Practice Address - Country:US
Practice Address - Phone:505-883-5858
Practice Address - Fax:505-883-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1732111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty