Henry, Scott M

Henry, Scott M is an sole proprietor health care provider with primary practice located at 7101 Guilford Dr #204 Suite 204, Frederick MD 21704-5930. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Henry, Scott M can be contacted via phone (301) 694-8880.

Contact Information

Primary practice address
7101 Guilford Dr #204 Suite 204 Frederick MD 21704-5930
Phone: (301) 694-8880
Fax: (301) 663-0959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01223 Maryland
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC004183R Pennsylvania

Profile Details

NPI number 1255324539
LBN Legal business name Henry, Scott M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Mar 30th, 2016 - about 8 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 1255324539 NPPES
Pennsylvania MEDICAID 1017481350001
Pennsylvania MEDICAID 0015596180002
Pennsylvania MEDICAID 410156100
Pennsylvania MEDICAID 549685364
Pennsylvania MEDICAID 1265459606

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