Eathorne, Scott William

Eathorne, Scott William is an individual health care provider with primary practice located at 30055 Northwestern Hwy #30, Farmington Hills MI 48334-3230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Eathorne, Scott William can be contacted via phone (248) 865-4030.

Contact Information

Primary practice address
30055 Northwestern Hwy #30 Farmington Hills MI 48334-3230
Phone: (248) 865-4030
Fax: (248) 426-7335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301055302 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301056302 Michigan

Profile Details

NPI number 1760480974
LBN Legal business name Eathorne, Scott William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 25th, 2018 - about 6 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 1760480974 NPPES
Michigan MEDICAID 297537810

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