Scott Douglass Muthard, D.C.

Individual provider Active NPI Chiropractor · Effort, PA

NPI 1356528343 · NPPES record last updated Oct 1, 2008

Key facts

NPI
1356528343
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC009947 (PA)
Practice address
Route 115
Carriage House Square, Suite 1
Effort, PA 18330
Phone
(570) 856-3045
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CHIRO08269GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Balance Chiropractic Corp. Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO08269 GA
Chiropractor 111N00000X DC009947 PA Yes

Addresses

Primary practice location

Route 115
Carriage House Square, Suite 1
Effort, PA 18330

Mailing address

PO Box 336
Route 115, Carriage House Square Suite 1
Effort, PA 18330-0336
Phone (570) 856-3045

Other providers in Effort, PA

All providers in Effort, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.