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
Fax: (701) 280-2915
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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