Provider Demographics
NPI:1053373514
Name:SCIUTO, STEVEN R (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:SCIUTO
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 1:100 MILK ST STE 8
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4600
Mailing Address - Country:US
Mailing Address - Phone:978-984-6636
Mailing Address - Fax:978-984-6486
Practice Address - Street 1:100 MILK ST STE 8
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4600
Practice Address - Country:US
Practice Address - Phone:978-984-6636
Practice Address - Fax:978-984-6486
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1232111N00000X
NH278-687A111N00000X
MACHI1232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0508732Y0MA01OtherANTHEM BC/BS NH
351136OtherHARVARD PILGRIM HEALTHCAR
14554OtherCOST CARE
969258OtherNETWORK HEALTH
MA1608703Medicaid
125592OtherAETNA
727333OtherTUFTS HEALTH PLANS
MAY35857OtherBLUECROSSBLUE SHIELD MA
NH0508732Y0MA01OtherANTHEM BC/BS NH
T58435Medicare UPIN