Hurley, Scott David
Hurley, Scott David is an individual health care provider with primary practice located at 610 N Michigan St Ste 400, South Bend IN 46601-1081. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hurley, Scott David can be contacted via phone (574) 647-8120.Contact Information
Primary practice address
610 N Michigan St Ste 400
South Bend IN 46601-1081
Phone: (574) 647-8120
Fax: (574) 647-8111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 01076098A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01076098A | Indiana |
Profile Details
| NPI number | 1326380247 |
|---|---|
| LBN Legal business name | Hurley, Scott David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2013 |
| Last updated | May 1st, 2023 - about last year |
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 | 1326380247 | NPPES |
| Indiana | MEDICAID | 300023695 |
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