Provider Demographics
NPI:1194717074
Name:VOORHIES, SCOTT THOMAS (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:THOMAS
Last Name:VOORHIES
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 1:9928 BREWSTER LN
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7571
Mailing Address - Country:US
Mailing Address - Phone:614-336-9481
Mailing Address - Fax:614-336-9482
Practice Address - Street 1:9928 BREWSTER LN
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7571
Practice Address - Country:US
Practice Address - Phone:614-336-9481
Practice Address - Fax:614-336-9482
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH664428OtherACN GROUP PROV. ID
OH000000321575OtherANTHEM BC/BS ID
OH664428OtherACN GROUP PROV. ID
OH9343171Medicare PIN
OH000000321575OtherANTHEM BC/BS ID
OHDD2926Medicare PIN