Provider Demographics
NPI:1902862485
Name:SCIROTTO, JAMES VICTOR (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:VICTOR
Last Name:SCIROTTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4918 STATE ROUTE 51 S
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4404
Mailing Address - Country:US
Mailing Address - Phone:724-379-4000
Mailing Address - Fax:724-379-2600
Practice Address - Street 1:4918 STATE ROUTE 51 S
Practice Address - Street 2:
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-4404
Practice Address - Country:US
Practice Address - Phone:724-379-4000
Practice Address - Fax:724-379-2600
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007393-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU80012Medicare UPIN
PA037166Medicare ID - Type Unspecified