Organization
SCOTT CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MAYSTROVICH DC (PRESIDENT)
(509) 482-1982
Entity
Organization
Contact information
Practice address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
(509) 482-1983
Mailing address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
(509) 482-1983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
L0643329
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157424
LABOR AND INDUSTRIES
WA
01
—
103310600
FEDERAL LABOR AND INDUSTR
WA
05
—
2026813
—
WA
01
—
2433MA
ASURIS
WA
Enumeration date
04/16/2007
Last updated
04/11/2011
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