Blair, Scott D

Blair, Scott D is an individual health care provider with primary practice located at 3434 W Broadway , Council Bluffs IA 51501-3291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blair, Scott D can be contacted via phone (712) 325-0022.

Contact Information

Primary practice address
3434 W Broadway Council Bluffs IA 51501-3291
Phone: (712) 325-0022
Fax: (712) 325-8102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25010 Iowa

Profile Details

NPI number 1891868980
LBN Legal business name Blair, Scott D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 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 1891868980 NPPES
Other 21071 COVENTRY
MEDICAID 1034330 COVENTRY
Other 0100253 COVENTRY
Other 24684 COVENTRY

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