Mcleod, Scott Gordon

Mcleod, Scott Gordon is an individual health care provider with primary practice located at 48073 Van Dyke Ave , Shelby Township MI 48317-3258. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mcleod, Scott Gordon can be contacted via phone (586) 739-6262.

Contact Information

Primary practice address
48073 Van Dyke Ave Shelby Township MI 48317-3258
Phone: (586) 739-6262
Fax: (586) 739-4540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301005951 Michigan

Profile Details

NPI number 1649226531
LBN Legal business name Mcleod, Scott Gordon
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 9th, 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 1649226531 NPPES
Michigan Other 0E001880 BLUE CROSS BLUE SHIELD
Michigan Other 5274511 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4789694 BLUE CROSS BLUE SHIELD

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