Hannum, Scott R

Hannum, Scott R is an individual health care provider with primary practice located at 720 W Oak St Ste 309 , Kissimmee FL 34741-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Hannum, Scott R can be contacted via phone (407) 518-4982.

Contact Information

Primary practice address
720 W Oak St Ste 309 Kissimmee FL 34741-4910
Phone: (407) 518-4982
Fax: (407) 518-1748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X OS8740 Florida

Profile Details

NPI number 1679595615
LBN Legal business name Hannum, Scott R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 1st, 2020 - about 4 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 1679595615 NPPES
Florida Other 17027 BCBS
Florida MEDICAID 264703600 BCBS

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