Provider Demographics
NPI:1407973563
Name:SESNY, SCOTT A (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:SESNY
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 1:8500 NORTH BEDFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1941
Mailing Address - Country:US
Mailing Address - Phone:330-468-1199
Mailing Address - Fax:330-468-3785
Practice Address - Street 1:8500 NORTH BEDFORD ROAD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1941
Practice Address - Country:US
Practice Address - Phone:330-468-1199
Practice Address - Fax:330-468-3785
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU48541Medicare UPIN
OH0757831Medicare ID - Type Unspecified