Provider Demographics
NPI:1740403591
Name:SCELFO, VINCENT FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:FRANCIS
Last Name:SCELFO
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 1:1368 KINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1259
Mailing Address - Country:US
Mailing Address - Phone:989-672-0830
Mailing Address - Fax:
Practice Address - Street 1:6004 WESTSIDE SAGINAW RD STE A
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-9370
Practice Address - Country:US
Practice Address - Phone:989-671-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor