Boerth, Scott

Boerth, Scott is an individual health care provider with primary practice located at 3698 S Main St , Blacksburg VA 24060-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boerth, Scott can be contacted via phone (540) 951-6070.

Contact Information

Primary practice address
3698 S Main St Blacksburg VA 24060-7015
Phone: (540) 951-6070
Fax: (540) 951-6071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101226430 Virginia

Profile Details

NPI number 1366439721
LBN Legal business name Boerth, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 8th, 2022 - about 3 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 1366439721 NPPES
Virginia MEDICAID 1366439721
Virginia MEDICAID 005846129
Virginia MEDICAID 010287910

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