Scott Garrett Chamberlain, D.C.
Individual provider Active NPI Chiropractor · Selma, CA
NPI 1336259787 · NPPES record last updated Oct 3, 2011
Key facts
- NPI
- 1336259787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC0205450 (CA)
- Practice address
- 2001 First Street
Selma, CA 93662 - Phone
- (559) 896-4944
- Fax
- (559) 896-4944
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20545 | CA | MD | Clinical Child & Adolescent Psychologist |
| DC0205450 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0205450 | CA | Yes |
Addresses
Primary practice location
2001 First Street
Selma, CA 93662
Mailing address
2001 First Street
Selma, CA 93662
Phone (559) 896-4944
Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.