Provider Demographics
NPI:1972600849
Name:CADMAN, SCOTT LEE (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:LEE
Last Name:CADMAN
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 1:9019 SIERRA AVE
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-4706
Mailing Address - Country:US
Mailing Address - Phone:909-822-2225
Mailing Address - Fax:909-822-6259
Practice Address - Street 1:9019 SIERRA AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-4706
Practice Address - Country:US
Practice Address - Phone:909-822-2225
Practice Address - Fax:909-822-6259
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor