Estrem, Scott A
Estrem, Scott A is an individual health care provider with primary practice located at 960 E Walnut Lawn St Ste 102 , Springfield MO 65807-7865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Estrem, Scott A can be contacted via phone (417) 875-3600.Contact Information
Primary practice address
960 E Walnut Lawn St Ste 102
Springfield MO 65807-7865
Phone: (417) 875-3600
Fax: (417) 875-3625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | R8E81 | Missouri |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | E-5863 | Arkansas |
Profile Details
| NPI number | 1790824605 |
|---|---|
| LBN Legal business name | Estrem, Scott A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Oct 8th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790824605 | NPPES |
| Missouri | MEDICAID | 202141339 | |
| Missouri | Other | 98461 | |
| Missouri | MEDICAID | 140012001 | |
| Missouri | Other | 132300193 | |
| Missouri | Other | 148764 |
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