Individual
DR. TIMOTHY D SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1005 MARION RD, BUCYRUS, OH 44820-3104
(419) 568-6565
(419) 562-5991
Mailing address
1005 MARION RD, BUCYRUS, OH 44820-3104
(419) 568-6565
(419) 562-5991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131363
ANTHEM BLUE CROSS/BLUE SH
OH
05
—
0483249
—
OH
01
—
341389097001
MEDICAL MUTUAL
OH
Enumeration date
06/30/2005
Last updated
01/09/2008
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