Birdsall, Scott B

Birdsall, Scott B is an individual health care provider with primary practice located at 855 Mankato Ave , Winona MN 55987-4868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Birdsall, Scott B can be contacted via phone (507) 454-3680.

Contact Information

Primary practice address
855 Mankato Ave Winona MN 55987-4868
Phone: (507) 454-3680
Fax: (507) 457-4160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 30341 Minnesota

Profile Details

NPI number 1396755930
LBN Legal business name Birdsall, Scott B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396755930 NPPES
Minnesota MEDICAID 422283100

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