Anderson, Scott

Anderson, Scott is an individual health care provider with primary practice located at 637 Dunn Rd Ste 170 , Hazelwood MO 63042-1759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Scott can be contacted via phone (314) 838-5702.

Contact Information

Primary practice address
637 Dunn Rd Ste 170 Hazelwood MO 63042-1759
Phone: (314) 838-5702
Fax: (314) 839-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G57847 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R9D52 Missouri

Profile Details

NPI number 1316938764
LBN Legal business name Anderson, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 8th, 2019 - about 5 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 1316938764 NPPES
Missouri Other 4000029 AETNA
Missouri Other 127461 AETNA
Missouri Other 100161 AETNA
Missouri Other 0400431 AETNA
Missouri Other 00000010007 AETNA
Missouri Other 28771 AETNA
Missouri Other A13912 AETNA

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