Provider Demographics
NPI:1548213416
Name:SCATENA CHIROPRACTIC INC
Entity Type:Organization
Organization Name:SCATENA CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCATENA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-223-0488
Mailing Address - Street 1:1019 MAJESTIC DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1496
Mailing Address - Country:US
Mailing Address - Phone:859-223-0488
Mailing Address - Fax:
Practice Address - Street 1:1019 MAJESTIC DR
Practice Address - Street 2:SUITE 160
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1895
Practice Address - Country:US
Practice Address - Phone:859-223-0488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========OtherTAX I.D.
KYV05816Medicare UPIN
TX6632230001Medicare NSC
KY00006Medicare PIN