Provider Demographics
NPI:1740232958
Name:STOROZUK, SCOTT R (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:R
Last Name:STOROZUK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:850 HIGH ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-3739
Mailing Address - Country:US
Mailing Address - Phone:413-536-0142
Mailing Address - Fax:413-536-0607
Practice Address - Street 1:850 HIGH ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-3739
Practice Address - Country:US
Practice Address - Phone:413-536-0142
Practice Address - Fax:413-536-0607
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA002370OtherTUFTS HEALTHPLANS
4404341OtherUNITED HEALTHCARE
796434OtherCONNECTICARE OF MA
MAY36678OtherBCBS OF MASSACHUSETTS
050002370MA01OtherBCBS OF CONNECTICUT
MA351396OtherHARVARD PILGRIM
2316013OtherAETNA
000000023054OtherBOSTON HEALTH NET
0017943OtherNEIGHBORHOOD HEALTH PLAN
8426431OtherCIGNA
MA1613421Medicaid
610115OtherACN/HEALTH NEW ENGLAND
MA1613421Medicaid