Provider Demographics
NPI:1992918684
Name:KOLAR, SCOTT T (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:T
Last Name:KOLAR
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 1:304 GRANT RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5384
Mailing Address - Country:US
Mailing Address - Phone:509-884-4200
Mailing Address - Fax:509-884-4200
Practice Address - Street 1:304 GRANT RD
Practice Address - Street 2:SUITE #1
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5384
Practice Address - Country:US
Practice Address - Phone:509-884-4200
Practice Address - Fax:509-884-4200
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034762111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor