Active NPIIndividual providerSole proprietor

Dr. Scotadam J Chernov, DC

Chiropractor in Gloucester, Massachusetts

NPI Number1801908314
Practice location
322 Main St, Gloucester, MA 01930-3011
Fax
978-282-1537
Last updated
July 6, 2012

Scotadam Judah Chernov is a Chiropractor based in Gloucester, MA. Scotadam Judah Chernov practices in Gloucester, MA and has the professional credentials of DC. The NPI Number for Scotadam Judah Chernov is 1801908314 and holds a License No. 2075 (MA). The current practice location address for Scotadam Judah Chernov is 322 Main St, Gloucester, MA 01930-3011 and can be reached out via phone at 978-281-0049 and via fax at 978-282-1537.

Provider Profile Details

NPI Number
1801908314
Provider Name
Scotadam Judah Chernov
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
322 Main St, Gloucester, MA 01930-3011
Phone Number
978-281-0049
Fax Number
978-282-1537
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2006
Last Update Date
July 6, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
322 Main St
Gloucester, MA 01930-3011
Zip
01930-3011
Phone Number
978-281-0049
Fax Number
978-282-1537
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
322 Main St
Gloucester, MA 01930-3011
City
Gloucester
State
MA
Zip
01930-3011
Phone Number
978-281-0049
Fax Number
978-282-1537

License Information

License Number (1)
2075
License State (1)
MA
Taxonomy (1)
Chiropractor · 111N00000X · Primary
License Number (2)
X0083881
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Scotadam J Chernov, DC?

The NPI number of Dr. Scotadam J Chernov, DC is 1801908314. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Scotadam J Chernov, DC?

Dr. Scotadam J Chernov, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 2075.

Where does Dr. Scotadam J Chernov, DC practice?

The practice location is 322 Main St, Gloucester, MA 01930-3011. The office can be reached at 978-281-0049 (phone) or 978-282-1537 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801908314 directly on the NPPES registry website.

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