Deckelbaum, Scott Howard
Deckelbaum, Scott Howard is an individual health care provider with primary practice located at 248 Pleasant St Ste 2800 , Concord NH 03301-7529. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Deckelbaum, Scott Howard can be contacted via phone (603) 415-6464.Contact Information
Primary practice address
248 Pleasant St Ste 2800
Concord NH 03301-7529
Phone: (603) 415-6464
Fax: (603) 227-7576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 5176 | Oklahoma |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 20A10789 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 235559 | New York |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | OS14334 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5176 | Oklahoma |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A10789 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 235559-1 | New York |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 23933 | New Hampshire |
Profile Details
| NPI number | 1730100892 |
|---|---|
| LBN Legal business name | Deckelbaum, Scott Howard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jun 29th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730100892 | NPPES |
| New York | MEDICAID | 02806417 |
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