Provider Demographics
NPI:1942360284
Name:SCOTT, BRAUNDOONE A (DC)
Entity Type:Individual
Prefix:DR
First Name:BRAUNDOONE
Middle Name:A
Last Name:SCOTT
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 1:800 PARCEL ST
Mailing Address - Street 2:STE.#5
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1564
Mailing Address - Country:US
Mailing Address - Phone:831-776-3698
Mailing Address - Fax:831-641-0570
Practice Address - Street 1:800 PARCEL ST
Practice Address - Street 2:STE.#5
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1564
Practice Address - Country:US
Practice Address - Phone:831-776-3698
Practice Address - Fax:831-641-0570
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27292111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation