Kaczmar, Scott

Kaczmar, Scott is an individual health care provider with primary practice located at 47950 Van Dyke Ave Suite A, Shelby Township MI 48317-3255. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kaczmar, Scott can be contacted via phone (586) 739-6654.

Contact Information

Primary practice address
47950 Van Dyke Ave Suite A Shelby Township MI 48317-3255
Phone: (586) 739-6654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X SK007679 Michigan

Profile Details

NPI number 1477690097
LBN Legal business name Kaczmar, Scott
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477690097 NPPES
Michigan Other 950E025430 BLUE CROSS BLUE SHEILD

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