Individual
DR. SCOTT JAMES CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
513 1ST AVE, ZILLAH, WA 98953-9432
(509) 829-6101
(509) 829-6101
Mailing address
PO BOX 1841, ZILLAH, WA 98953-1841
(509) 829-6101
(509) 829-6101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034056
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026052
—
WA
01
—
AB29039
MEDICARE GROUP
WA
01
—
AB29040
MEDICARE INDIVIUAL
WA
01
—
U87239
UPIN
WA
Enumeration date
08/31/2005
Last updated
03/28/2008
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