Scott, Sam S

Scott, Sam S is an sole proprietor health care provider with primary practice located at 2834 N Halsted St , Chicago IL 60657-5151. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Scott, Sam S can be contacted via phone (312) 933-5155.

Contact Information

Primary practice address
2834 N Halsted St Chicago IL 60657-5151
Phone: (312) 933-5155
Fax: (773) 549-4776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 038-009636 Illinois

Profile Details

NPI number 1467508861
LBN Legal business name Scott, Sam S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1467508861 NPPES
Illinois Other 1634503 BCBS PROVIDOR #

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