Calvert, Scott A

Calvert, Scott A is an individual health care provider with primary practice located at 145 N Main St , Fond Du Lac WI 54935-3423. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Calvert, Scott A can be contacted via phone (920) 926-8492.

Contact Information

Primary practice address
145 N Main St Fond Du Lac WI 54935-3423
Phone: (920) 926-8492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10259-33 Wisconsin

Profile Details

NPI number 1346856598
LBN Legal business name Calvert, Scott A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2020
Last updated Dec 8th, 2020 - about 5 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 1346856598 NPPES
Wisconsin Other 10259-33 STATE LICENSE - APNP
Wisconsin Other 130045-30 STATE LICENSE - APNP

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