Eccarius, Scott
Eccarius, Scott is an sole proprietor health care provider with primary practice located at 631 Saint Anne St Suite 103, Rapid City SD 57701-4678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Eccarius, Scott can be contacted via phone (605) 343-4120.Contact Information
Primary practice address
631 Saint Anne St Suite 103
Rapid City SD 57701-4678
Phone: (605) 343-4120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | SD3450 | South Dakota |
Profile Details
| NPI number | 1033166459 |
|---|---|
| LBN Legal business name | Eccarius, Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Dec 6th, 2016 - about 9 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 | 1033166459 | NPPES |
| Other | S2468 | MEDICARE PTAN | |
| MEDICAID | 6300422 | MEDICARE PTAN |
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