Fillmore, Scott J
Fillmore, Scott J is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Fillmore, Scott J can be contacted via phone (701) 234-2203.Contact Information
Primary practice address
801 Broadway N
Fargo ND 58102-3641
Phone: (701) 234-2203
Fax: (701) 234-2899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | H9633 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 5962 | North Dakota |
Profile Details
| NPI number | 1336146703 |
|---|---|
| LBN Legal business name | Fillmore, Scott J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jan 18th, 2012 - about 12 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 | 1336146703 | NPPES |
| Texas | Other | 979392 | FOCUS |
| Texas | Other | 208100000X | FOCUS |
| Texas | Other | 377226600 | FOCUS |
| Texas | Other | 760420564 | FOCUS |
| Texas | Other | 00H04C | FOCUS |
| Texas | Other | 123880501 | FOCUS |
| Texas | Other | 541659 | FOCUS |
| Texas | MEDICAID | 033687701 | FOCUS |
| Texas | Other | 54349 | FOCUS |
| Texas | Other | 6800563003 | FOCUS |
| Texas | MEDICAID | 14695 | FOCUS |
| Texas | Other | 250003082 | FOCUS |
| Texas | Other | 4511475 | FOCUS |
| Texas | Other | 813691 | FOCUS |
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