Provider Demographics
NPI:1194807743
Name:CYPHER, SCOTT B (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:B
Last Name:CYPHER
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 1:22636 GLENN DR
Mailing Address - Street 2:STE 204
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164
Mailing Address - Country:US
Mailing Address - Phone:703-481-9698
Mailing Address - Fax:703-481-9699
Practice Address - Street 1:22636 GLENN DR
Practice Address - Street 2:STE 204
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164
Practice Address - Country:US
Practice Address - Phone:703-481-9698
Practice Address - Fax:703-481-9699
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350000795Medicare ID - Type Unspecified