Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3187 | OH |
NPI | 1003919812 |
---|---|
Provider Name | Dr. Joseph John Scott |
First Address | Salem, OH 44460-4364 |
Second Address | Salem, OH 44460-4364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 01/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2267710 | (05) | OH |
U90248 | (02) | OH |