Hewitt, Scott D
Hewitt, Scott D is an individual health care provider with primary practice located at 518 Lincoln Way W , Mishawaka IN 46544-1807. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hewitt, Scott D can be contacted via phone (574) 255-5630.Contact Information
Primary practice address
518 Lincoln Way W
Mishawaka IN 46544-1807
Phone: (574) 255-5630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | IN7801 | Indiana |
Profile Details
| NPI number | 1780710467 |
|---|---|
| LBN Legal business name | Hewitt, Scott D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1780710467 | NPPES |
| Indiana | MEDICAID | 100222340 |
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