Individual
DR. HARRY SCOTT III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
935 N VAN BUREN ST, SUITE 2, SHIPSHEWANA, IN 46565-8702
(260) 768-4061
Mailing address
935 N VAN BUREN ST, SUITE 1, SHIPSHEWANA, IN 46565-8702
(260) 768-4324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000842A
IN
111N00000X
Chiropractor
L557686
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000182245
BLUE CROSS
IN
Enumeration date
09/30/2005
Last updated
07/08/2007
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