Provider Demographics
NPI:1215375084
Name:SCOTT A COOPER INC
Entity type:Organization
Organization Name:SCOTT A COOPER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-872-9300
Mailing Address - Street 1:10439 COMMERCE DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7605
Mailing Address - Country:US
Mailing Address - Phone:317-872-9300
Mailing Address - Fax:317-872-9303
Practice Address - Street 1:10439 COMMERCE DR
Practice Address - Street 2:SUITE 140
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7605
Practice Address - Country:US
Practice Address - Phone:317-872-9300
Practice Address - Fax:317-872-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty