Provider Demographics
NPI:1487853388
Name:RUFF, SCOTT FREDRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:FREDRICK
Last Name:RUFF
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 1:1124 BROADWAY STE B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3526
Mailing Address - Country:US
Mailing Address - Phone:308-633-3106
Mailing Address - Fax:308-633-4960
Practice Address - Street 1:1124 BROADWAY STE B
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-3526
Practice Address - Country:US
Practice Address - Phone:308-633-3106
Practice Address - Fax:308-633-4960
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor