Doctor Name: | SCOTT CLIFFORD SOUCIE |
NPI Number: | 1780668582 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 4975 |
Business Practice Address: | 4006 Cleveland Ave Building B Wellington, CO - 80549 |
Business Phone Number: | 9705689368 |
Business Fax Number: | |
Mailing Address: | Po Box 434, WELLINGTON |
State: | CO |
Postal Code: | 805490434 |
Phone Number: | 9705689368 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |