Deron, Scott John

Deron, Scott John is an individual health care provider with primary practice located at 21 Primrose Pl , Bangor ME 04401-5891. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Deron, Scott John can be contacted via phone (207) 989-1054.

Contact Information

Primary practice address
21 Primrose Pl Bangor ME 04401-5891
Phone: (207) 989-1054
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X OS005372L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS005372L Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X OS005372L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DO2065 Maine

Profile Details

NPI number 1528035136
LBN Legal business name Deron, Scott John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 9th, 2021 - about 3 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 1528035136 NPPES
Pennsylvania MEDICAID 0009784500006

Popular Providers