Zack, Scott Philip

Zack, Scott Philip is an individual health care provider with primary practice located at 5761 W Maple Rd , West Bloomfield MI 48322-2270. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Zack, Scott Philip can be contacted via phone (248) 626-6892.

Contact Information

Primary practice address
5761 W Maple Rd West Bloomfield MI 48322-2270
Phone: (248) 626-6892
Fax: (248) 855-2477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008619 Michigan

Profile Details

NPI number 1013964451
LBN Legal business name Zack, Scott Philip
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1013964451 NPPES
Michigan MEDICAID 4722514

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