| Dr Scott Allen Gittings, DC | |
|
418 E Broadway, Louisville, KY 40202-1706 | |
| (502) 681-6800 | |
| (502) 681-6868 |
| Full Name | Dr Scott Allen Gittings |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 418 E Broadway, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487616173 | NPI | - | NPPES |
| 7100293440 | Medicaid | KY | |
| 85002673 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4507 (Kentucky) | Primary |
| Provider Name | Sb Chiropractic Psc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447506977 PECOS PAC ID: 2264665637 Enrollment ID: O20140509001055 |
| Provider Name | Mg Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992104558 PECOS PAC ID: 3476775537 Enrollment ID: O20141105002408 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Allen Gittings, DC 418 E Broadway, Louisville, KY 40202-1706 Ph: (502) 681-6800 | Dr Scott Allen Gittings, DC 418 E Broadway, Louisville, KY 40202-1706 Ph: (502) 681-6800 |
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