Provider Demographics
NPI:1558556043
Name:HUBER, SCOTT PHILLIP (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:PHILLIP
Last Name:HUBER
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 1:41 MOUNTAIN BLVD
Mailing Address - Street 2:C1
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2630
Mailing Address - Country:US
Mailing Address - Phone:908-508-1705
Mailing Address - Fax:908-508-1772
Practice Address - Street 1:41 MOUNTAIN BLVD
Practice Address - Street 2:C1
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2630
Practice Address - Country:US
Practice Address - Phone:908-279-7605
Practice Address - Fax:908-279-7606
Is Sole Proprietor?:No
Enumeration Date:2007-09-08
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00255500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor