Boggs, Scott Irwin

Boggs, Scott Irwin is an sole proprietor health care provider with primary practice located at 5221 Hwy 95 Suite 10, Fort Mohave AZ 86426-9244. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Boggs, Scott Irwin can be contacted via phone (928) 788-3668.

Contact Information

Primary practice address
5221 Hwy 95 Suite 10 Fort Mohave AZ 86426-9244
Phone: (928) 788-3668
Fax: (928) 788-3670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0417 Arizona
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3499 California

Profile Details

NPI number 1467439331
LBN Legal business name Boggs, Scott Irwin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2005
Last updated Jul 7th, 2020 - about 4 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 1467439331 NPPES
California Other 000E34990 BLUE SHIELD
California Other AZ0194650 BLUE SHIELD
California MEDICAID 452540 BLUE SHIELD
California MEDICAID XPD000850 BLUE SHIELD

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