Fonda, Scott

Fonda, Scott is an individual health care provider with primary practice located at 825 N Cass Ave Suite 104, Westmont IL 60559-1132. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Chiropractor is his primary health care specialty. Fonda, Scott can be contacted via phone (630) 522-4060.

Contact Information

Primary practice address
825 N Cass Ave Suite 104 Westmont IL 60559-1132
Phone: (630) 522-4060
Fax: (630) 522-4061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-007499 Illinois
Chiropractic Providers / Orthopedic 111NX0800X 038-007499 Illinois

Profile Details

NPI number 1518971886
LBN Legal business name Fonda, Scott
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Nov 16th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518971886 NPPES
Illinois MEDICAID 038007499

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