Individual
DR. MARK J. SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9494 CINCINNATI COLUMBUS RD, CINCINNATI, OH 45241-1161
(513) 755-8020
(513) 755-8021
Mailing address
9494 CINCINNATI COLUMBUS RD, CINCINNATI, OH 45241-1161
(513) 755-8020
(513) 755-8021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020360
ANTHEM PROVIDER NUMBER
OH
05
—
0994072
—
OH
Enumeration date
10/23/2006
Last updated
01/19/2012
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