Provider Demographics
NPI:1417043118
Name:SCIOLI, PAUL S (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:SCIOLI
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 1:130 COUNTY RD.
Mailing Address - Street 2:SUITE L.
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938
Mailing Address - Country:US
Mailing Address - Phone:978-356-7888
Mailing Address - Fax:
Practice Address - Street 1:130 COUNTY RD.
Practice Address - Street 2:SUITE L.
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938
Practice Address - Country:US
Practice Address - Phone:978-356-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1610449Medicaid
MAU49360Medicare UPIN
MAY36293Medicare ID - Type Unspecified