Hathaway, Scott A
Hathaway, Scott A is an individual health care provider with primary practice located at 309 N Bartlett St , Shawano WI 54166-2127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Hathaway, Scott A can be contacted via phone (715) 526-2111.Contact Information
Primary practice address
309 N Bartlett St
Shawano WI 54166-2127
Phone: (715) 526-2111
Fax: (715) 526-9174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 36307 | Wisconsin |
Profile Details
| NPI number | 1669563763 |
|---|---|
| LBN Legal business name | Hathaway, Scott A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Nov 2nd, 2012 - about 14 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 | 1669563763 | NPPES |
| Wisconsin | MEDICAID | 30064500 |
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