Provider Demographics
NPI:1871511212
Name:SCOTT R GILFORD DC, A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:SCOTT R GILFORD DC, A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:GILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-748-4343
Mailing Address - Street 1:14103 POWAY RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4926
Mailing Address - Country:US
Mailing Address - Phone:858-748-4343
Mailing Address - Fax:858-748-4881
Practice Address - Street 1:14103 POWAY RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4926
Practice Address - Country:US
Practice Address - Phone:858-748-4343
Practice Address - Fax:858-748-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty