Provider Demographics
NPI:1295768315
Name:MCELDOWNEY, DONALD SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:SCOTT
Last Name:MCELDOWNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:D.
Other - Middle Name:SCOTT
Other - Last Name:MCELDOWNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2199 CREST ST
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-4719
Mailing Address - Country:US
Mailing Address - Phone:541-882-6512
Mailing Address - Fax:541-884-3044
Practice Address - Street 1:2199 CREST ST
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-4719
Practice Address - Country:US
Practice Address - Phone:541-882-6512
Practice Address - Fax:541-884-3044
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6720111N00000X
OR2862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0000QGFYNMedicare PIN
ORUU78703Medicare UPIN
TX609008Medicare ID - Type Unspecified
TXU478703Medicare UPIN