Provider Demographics
NPI:1821028531
Name:MULLENMEISTER, SCOTT J (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:J
Last Name:MULLENMEISTER
Suffix:
Gender:M
Credentials:DC
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1415 WEST HAVENS STREET SUITE 3
Mailing Address - Street 2:CHIROPRACTIC CENTER FOR HEALTH LIVING
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-4116
Mailing Address - Country:US
Mailing Address - Phone:605-996-1160
Mailing Address - Fax:605-996-6433
Practice Address - Street 1:1415 WEST HAVENS STREET SUITE 3
Practice Address - Street 2:CHIROPRACTIC CENTER FOR HEALTH LIVING
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-4116
Practice Address - Country:US
Practice Address - Phone:605-996-1160
Practice Address - Fax:605-996-6433
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD1040111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology