Provider Demographics
NPI:1780713347
Name:MULLIKEN, SCOTT P (ND)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:P
Last Name:MULLIKEN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
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Mailing Address - Street 1:11 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04046-5823
Mailing Address - Country:US
Mailing Address - Phone:207-467-3345
Mailing Address - Fax:207-467-3403
Practice Address - Street 1:1232 PORTLAND RD
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-8104
Practice Address - Country:US
Practice Address - Phone:207-467-3345
Practice Address - Fax:207-467-3403
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MENP236175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath