Andelin, Scott Allen

Andelin, Scott Allen is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste A-700, Ogden UT 84403-3271. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Andelin, Scott Allen can be contacted via phone (801) 387-5300.

Contact Information

Primary practice address
4403 Harrison Blvd Ste A-700 Ogden UT 84403-3271
Phone: (801) 387-5300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7730028-1205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2012003966 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2012003966 Missouri

Profile Details

NPI number 1013245000
LBN Legal business name Andelin, Scott Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2009
Last updated Nov 16th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013245000 NPPES
Utah MEDICAID 1013245000

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