Caudle, Scott O

Caudle, Scott O is an sole proprietor health care provider with primary practice located at 1503 W Elk Ave Suite 1, Elizabethton TN 37643-2876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Caudle, Scott O can be contacted via phone (423) 543-8619.

Contact Information

Primary practice address
1503 W Elk Ave Suite 1 Elizabethton TN 37643-2876
Fax: (423) 543-5133
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA13233 Tennessee

Profile Details

NPI number 1770570772
LBN Legal business name Caudle, Scott O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Nov 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770570772 NPPES
Tennessee MEDICAID 3380824
Tennessee Other 39248

Popular Providers