Provider Demographics
NPI:1710038054
Name:JOSEPH J SCOTT, D.C., LLC
Entity Type:Organization
Organization Name:JOSEPH J SCOTT, D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-332-4307
Mailing Address - Street 1:1830 S LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-4256
Mailing Address - Country:US
Mailing Address - Phone:330-332-4307
Mailing Address - Fax:330-332-5757
Practice Address - Street 1:1830 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-4256
Practice Address - Country:US
Practice Address - Phone:330-332-4307
Practice Address - Fax:330-332-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3187111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2267710Medicaid
OH9324671Medicare ID - Type Unspecified
OHU90248Medicare UPIN