Provider Demographics
NPI:1578785572
Name:SCORY, JAMES E
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:SCORY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HADDAM VIEW HEIGHTS
Mailing Address - Street 2:
Mailing Address - City:HADDAM
Mailing Address - State:CT
Mailing Address - Zip Code:06438-1309
Mailing Address - Country:US
Mailing Address - Phone:860-345-8471
Mailing Address - Fax:
Practice Address - Street 1:20 HADDAM VIEW HEIGHTS
Practice Address - Street 2:
Practice Address - City:HADDAM
Practice Address - State:CT
Practice Address - Zip Code:06438-1309
Practice Address - Country:US
Practice Address - Phone:860-345-8471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001052255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer