Alcott Blue Water Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005848 Issued in MI

Legal business name

ALCOTT BLUE WATER CHIROPRACTIC, INC.

Doing business as

Blue Water Chiropractic

Practice address

3941 24TH Ave
Fort Gratiot, MI 48059-4102

Phone

(810) 985-6868

Fax

(810) 985-6991

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Douglas Alcott, D.C.NPI 1770503724

Title

President

Phone

(810) 985-6868

Specialties & licenses 1

Addresses

Other names 1

• Blue Water Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Douglas Alcott, D.C.

  • Chiropractor
  • Fort Gratiot, MI
  • NPI 1770503724
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1124294236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594102",
            "telephone_number": "810-985-6868",
            "fax_number": "810-985-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594102",
            "telephone_number": "810-985-6868",
            "fax_number": "810-985-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOTT BLUE WATER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ALCOTT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-985-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Water Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aiso PLLC
• Butheinah A Al-Sharafi, MD
• Ahmad Alabbas, M.D.
• Alexandra Alandt
• Korryn Irene Albert
• Scott Douglas Alcott, D.C.
• Joji Alex, NP-C
• Rachelle Ann Alexander
• Victoria Alexander
• Carol Allen, OD

• Chiropractor in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.