Provider Demographics
NPI:1699815779
Name:AUTON, SCOTT ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ANTHONY
Last Name:AUTON
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 1:1551 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-1124
Mailing Address - Country:US
Mailing Address - Phone:317-346-0799
Mailing Address - Fax:317-346-0797
Practice Address - Street 1:1551 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-1124
Practice Address - Country:US
Practice Address - Phone:317-346-0799
Practice Address - Fax:317-346-0797
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001939A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1844629OtherACN GROUP
IN1844629OtherFIRST HEALTH
IN31164280201OtherSAGAMORE
IN0007142173OtherAETNA
IN1844629OtherUNITED HEALTHCARE
IN000000174158OtherANTHEM
IN1844629OtherUNITED HEALTHCARE
INU81982Medicare UPIN