Provider Demographics
NPI:1982870069
Name:SCOTT, CHRISTINA K (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:K
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:769 COUNTRY WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066
Mailing Address - Country:US
Mailing Address - Phone:781-545-7388
Mailing Address - Fax:781-545-6552
Practice Address - Street 1:769 COUNTRY WAY
Practice Address - Street 2:
Practice Address - City:NORTH SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066
Practice Address - Country:US
Practice Address - Phone:781-545-7388
Practice Address - Fax:781-545-6552
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY47901Medicare UPIN