Credit, Scott M.

Credit, Scott M. is an individual health care provider with primary practice located at 194 Howard St , New London CT 06320-5544. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Credit, Scott M. can be contacted via phone (860) 444-3366.

Contact Information

Primary practice address
194 Howard St New London CT 06320-5544
Phone: (860) 444-3366
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 285443 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3204 Connecticut

Profile Details

NPI number 1811976111
LBN Legal business name Credit, Scott M.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Feb 16th, 2022 - about 2 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 1811976111 NPPES
Connecticut MEDICAID 1811976111
Connecticut MEDICAID 1811976111

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