# SCOTT VAN OOSTEN D C INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659545200
- **Authorized official:** MS. ANDI J ALLEN (OFFICE MANAGER)
- **Authorized official phone:** (216) 221-5556

## Contact information

- **Practice address:** 15711 MADISON AVENUE, LAKEWOOD, OH 44107
- **Practice address phone:** (216) 221-5556
- **Mailing address:** 3427 BRIDGEPORT DR., N. OLMSTED, OH 44070
- **Mailing address phone:** (216) 221-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2217 | OH | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0132341 | — | OH |