Provider Demographics
NPI:1851387757
Name:LAUX, SCOTT A (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:LAUX
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 1:235 S CECIL ST
Mailing Address - Street 2:P O BOX 128
Mailing Address - City:BONDUEL
Mailing Address - State:WI
Mailing Address - Zip Code:54107-9292
Mailing Address - Country:US
Mailing Address - Phone:715-758-2165
Mailing Address - Fax:715-758-6130
Practice Address - Street 1:235 S CECIL ST
Practice Address - Street 2:
Practice Address - City:BONDUEL
Practice Address - State:WI
Practice Address - Zip Code:54107-9292
Practice Address - Country:US
Practice Address - Phone:715-758-2165
Practice Address - Fax:715-758-6130
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI75-183Medicare ID - Type Unspecified
WIT62569Medicare UPIN