Provider Demographics
NPI:1871670893
Name:SCOTT A. HEUMANN, D.C.P.C.
Entity Type:Organization
Organization Name:SCOTT A. HEUMANN, D.C.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-427-6333
Mailing Address - Street 1:27620 5 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-3946
Mailing Address - Country:US
Mailing Address - Phone:734-427-6333
Mailing Address - Fax:734-427-6340
Practice Address - Street 1:27620 5 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3946
Practice Address - Country:US
Practice Address - Phone:734-427-6333
Practice Address - Fax:734-427-6340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950Q25049OtherBCBSM
MI0Q25049Medicare ID - Type Unspecified