Organization
SCOTT VAN OOSTEN D C INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDI J ALLEN (OFFICE MANAGER)
(216) 221-5556
Entity
Organization
Contact information
Practice address
15711 MADISON AVENUE, LAKEWOOD, OH 44107
(216) 221-5556
Mailing address
3427 BRIDGEPORT DR., N. OLMSTED, OH 44070
(216) 221-5556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2217
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132341
—
OH
Enumeration date
04/15/2008
Last updated
04/15/2008
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