Donnelly, Scott O
Donnelly, Scott O is an individual health care provider with primary practice located at 9550 W 167Th St , Orland Park IL 60467-5561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Donnelly, Scott O can be contacted via phone (708) 873-4500.Contact Information
Primary practice address
9550 W 167Th St
Orland Park IL 60467-5561
Phone: (708) 873-4500
Fax: (708) 873-4505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Illinois |
Profile Details
| NPI number | 1407992738 |
|---|---|
| LBN Legal business name | Donnelly, Scott O |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1407992738 | NPPES |
| Pennsylvania | MEDICAID | 2476959 |
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