Edson, Darren Scott

Edson, Darren Scott is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Edson, Darren Scott can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 457-0469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5382 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X P5799 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036142351 Illinois

Profile Details

NPI number 1699777391
LBN Legal business name Edson, Darren Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 21st, 2022 - about 2 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 1699777391 NPPES
Illinois Other 036.142351 BCBSIL
Illinois Other 214881 BCBSIL
Illinois MEDICAID 002019997 BCBSIL

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