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
Phone: (936) 569-9443
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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