Provider Demographics
NPI:1730247644
Name:SCOTT, JULIE ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:750 W EISENHOWER BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4352
Mailing Address - Country:US
Mailing Address - Phone:970-203-9997
Mailing Address - Fax:970-203-9998
Practice Address - Street 1:750 WEST EISENHOWER BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4352
Practice Address - Country:US
Practice Address - Phone:970-203-9997
Practice Address - Fax:970-203-9998
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC800829Medicare PIN