Provider Demographics
NPI:1295863827
Name:DR. J. SCOTT MOHR, DC, INC.
Entity Type:Organization
Organization Name:DR. J. SCOTT MOHR, DC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-635-4005
Mailing Address - Street 1:101 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:SAXTON
Mailing Address - State:PA
Mailing Address - Zip Code:16678-1581
Mailing Address - Country:US
Mailing Address - Phone:814-635-4005
Mailing Address - Fax:814-635-4005
Practice Address - Street 1:101 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:SAXTON
Practice Address - State:PA
Practice Address - Zip Code:16678-1581
Practice Address - Country:US
Practice Address - Phone:814-635-4005
Practice Address - Fax:814-635-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005041L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA200037OtherUPMC PROV ID
PA0014340880001Medicaid
PAU46464Medicare UPIN
PA057089Medicare ID - Type UnspecifiedMEDICARE GROUP