Beairsto, Scott Mitchell

Beairsto, Scott Mitchell is an sole proprietor health care provider with primary practice located at 205 Bonaire Dr , Lafayette LA 70506-6827. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Beairsto, Scott Mitchell can be contacted via phone (504) 889-0347.

Contact Information

Primary practice address
205 Bonaire Dr Lafayette LA 70506-6827
Phone: (504) 889-0347
Fax: (504) 779-9741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PD319R Louisiana

Profile Details

NPI number 1821056128
LBN Legal business name Beairsto, Scott Mitchell
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Dec 19th, 2007 - about 18 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 1821056128 NPPES
Louisiana Other P00336354 RRMCARE PIN #
Louisiana MEDICAID 1715441 RRMCARE PIN #

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