| Shawn Scott Chiropractic, Inc. | |
|
72925 Fred Waring Dr Ste. 204 Palm Desert CA 92260-9401 | |
| (760) 340-0100 | |
| (760) 340-1125 |
| Full Name | Shawn Scott Chiropractic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 72925 Fred Waring Dr, Palm Desert, California |
| Authorized Official Name and Position | Robbie Leiske (OFFICE MANAGER) |
| Authorized Official Contact | 7603400100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Scott Chiropractic, Inc. 72925 Fred Waring Dr Ste. 204 Palm Desert CA 92260-9401 Ph: (760) 340-0100 | Shawn Scott Chiropractic, Inc. 72925 Fred Waring Dr Ste. 204 Palm Desert CA 92260-9401 Ph: (760) 340-0100 |
| NPI Number | 1710212220 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 10/16/2009 |
| Medicare PECOS PAC ID | 6406993336 |
|---|---|
| Medicare Enrollment ID | O20091027000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710212220 | NPI | - | NPPES |
| DC0199780 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 19978 (California) | Primary |
| Provider Name | Shawn A Scott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629101571 PECOS PAC ID: 2163569088 Enrollment ID: I20091027000217 |
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