Provider Demographics
NPI:1497030126
Name:SCOTT N MACADAM CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:SCOTT N MACADAM CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:MACADAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-276-4700
Mailing Address - Street 1:600 CORPORATE DR
Mailing Address - Street 2:SUITE 190
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-2106
Mailing Address - Country:US
Mailing Address - Phone:949-276-4700
Mailing Address - Fax:949-276-4703
Practice Address - Street 1:600 CORPORATE DR
Practice Address - Street 2:SUITE 190
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2106
Practice Address - Country:US
Practice Address - Phone:949-276-4700
Practice Address - Fax:949-276-4703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty