Provider Demographics
NPI:1386967883
Name:SCOTT, JUSTIN D (DC)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:D
Last Name:SCOTT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2605 NICHOLSON RD STE 3120
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-7608
Mailing Address - Country:US
Mailing Address - Phone:724-719-2900
Mailing Address - Fax:724-719-2901
Practice Address - Street 1:2605 NICHOLSON RD STE 3120
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-7608
Practice Address - Country:US
Practice Address - Phone:724-719-2900
Practice Address - Fax:724-719-2901
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor