Dempewolf, Scott Allen

Dempewolf, Scott Allen is an sole proprietor health care provider with primary practice located at 2002 12Th Ave Nw , Ardmore OK 73401-1206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Dempewolf, Scott Allen can be contacted via phone (580) 226-8646.

Contact Information

Primary practice address
2002 12Th Ave Nw Ardmore OK 73401-1206
Phone: (580) 226-8646
Fax: (580) 226-8641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 20353 Oklahoma

Profile Details

NPI number 1437130762
LBN Legal business name Dempewolf, Scott Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Nov 29th, 2011 - about 13 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 1437130762 NPPES
Oklahoma MEDICAID 100119370A
Oklahoma Other 040012718

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