Provider Demographics
NPI:1780743070
Name:SCARTON CHIROPRACTIC & REHABILITATION CLINIC
Entity type:Organization
Organization Name:SCARTON CHIROPRACTIC & REHABILITATION CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCARTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-229-5266
Mailing Address - Street 1:1385 WASHINGTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9674
Mailing Address - Country:US
Mailing Address - Phone:724-229-5266
Mailing Address - Fax:724-229-5584
Practice Address - Street 1:1385 WASHINGTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9674
Practice Address - Country:US
Practice Address - Phone:724-229-5266
Practice Address - Fax:724-229-5584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007014L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA350054258OtherRAILROAD MEDICARE
PA761387OtherHIGHMARK
PA2299744OtherAETNA
PA214909OtherUPMC
PA350054258OtherRAILROAD MEDICARE
PA214909OtherUPMC
PAU70255Medicare UPIN