Provider Demographics
NPI:1588676993
Name:TUMINELLI, SCOTT F (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:F
Last Name:TUMINELLI
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 1:1017 UNIVERSITY BLVD E STE 101
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-3704
Mailing Address - Country:US
Mailing Address - Phone:301-408-3776
Mailing Address - Fax:301-408-3799
Practice Address - Street 1:1017 UNIVERSITY BLVD E STE 101
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-3704
Practice Address - Country:US
Practice Address - Phone:301-408-3776
Practice Address - Fax:301-408-3799
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE356Medicare ID - Type Unspecified
MDU56128Medicare UPIN