Provider Demographics
NPI:1407002066
Name:MUZINSKI, SCOTT EDMUND (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:EDMUND
Last Name:MUZINSKI
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 1:5610 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1445
Mailing Address - Country:US
Mailing Address - Phone:703-237-5999
Mailing Address - Fax:703-532-1172
Practice Address - Street 1:5610 LEE HWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1445
Practice Address - Country:US
Practice Address - Phone:703-237-5999
Practice Address - Fax:703-532-1172
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000919111N00000X, 171100000X
MO005728111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAMU679194Medicare UPIN
VA405741Medicare PIN