Berthot, Jeffrey Scott

Berthot, Jeffrey Scott is an sole proprietor health care provider with primary practice located at 4800 Ne Stallings Dr Suite 110, Nacogdoches TX 75965-1249. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Berthot, Jeffrey Scott can be contacted via phone (936) 569-9443.

Contact Information

Primary practice address
4800 Ne Stallings Dr Suite 110 Nacogdoches TX 75965-1249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04204 Texas

Profile Details

NPI number 1932294550
LBN Legal business name Berthot, Jeffrey Scott
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jun 2nd, 2010 - about 15 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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