Provider Demographics
NPI:1730369695
Name:WINKLER, SCOTT H (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:H
Last Name:WINKLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 'I' ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521
Mailing Address - Country:US
Mailing Address - Phone:707-839-1626
Mailing Address - Fax:
Practice Address - Street 1:1085 I ST
Practice Address - Street 2:SUITE 111
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-5586
Practice Address - Country:US
Practice Address - Phone:707-822-1676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21174111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner