Van Dam, Scott A
Van Dam, Scott A is an individual health care provider with primary practice located at 1203 28Th St S Ste B , Fargo ND 58103-8711. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Van Dam, Scott A can be contacted via phone (701) 532-5320.Contact Information
Primary practice address
1203 28Th St S Ste B
Fargo ND 58103-8711
Phone: (701) 532-5320
Fax: (701) 280-2915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3742 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 038008694 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 747 | North Dakota |
Profile Details
| NPI number | 1750343877 |
|---|---|
| LBN Legal business name | Van Dam, Scott A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | May 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750343877 | NPPES |
| North Dakota | Other | 1205038023 | GROUP |
| North Dakota | Other | 24468 | GROUP |
| North Dakota | Other | 90M20VA | GROUP |
| North Dakota | Other | 665360 | GROUP |
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