Provider Demographics
NPI:1538289582
Name:ALLAN, SCOTT ARLEND (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ARLEND
Last Name:ALLAN
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 1:5080 ANNUNCIATION CIR
Mailing Address - Street 2:STE 104
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9648
Mailing Address - Country:US
Mailing Address - Phone:239-348-1696
Mailing Address - Fax:
Practice Address - Street 1:5300 S ROBERT TRL
Practice Address - Street 2:STE 700
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55077-1444
Practice Address - Country:US
Practice Address - Phone:651-457-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4487111N00000X
FLCH9623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN539T3ALOtherBCBS
MN539T3ALOtherBCBS