Jaben, Scott Leonard
Jaben, Scott Leonard is an individual health care provider with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jaben, Scott Leonard can be contacted via phone (704) 295-3000.Contact Information
Primary practice address
6035 Fairview Rd
Charlotte NC 28210-3256
Phone: (704) 295-3000
Fax: (704) 295-3468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 13244 | South Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 26271 | North Carolina |
Profile Details
| NPI number | 1174572598 |
|---|---|
| LBN Legal business name | Jaben, Scott Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 31st, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174572598 | NPPES |
| North Carolina | Other | 4066591 | AETNA |
| North Carolina | Other | 45506 | AETNA |
| North Carolina | Other | 0841725 | AETNA |
| North Carolina | Other | 24174 | AETNA |
| North Carolina | Other | 000000292723 | AETNA |
| North Carolina | Other | 17726 | AETNA |
| North Carolina | Other | 771081 | AETNA |
| North Carolina | MEDICAID | 8945506 | AETNA |
| North Carolina | Other | 376563 | AETNA |
| North Carolina | MEDICAID | N26271 | AETNA |
| North Carolina | Other | 20002138 | AETNA |
| North Carolina | Other | 26675 | AETNA |
| North Carolina | Other | 10725 | AETNA |
| North Carolina | Other | 10974 | AETNA |
| North Carolina | Other | 1641199001 | AETNA |
| North Carolina | Other | 175003 | AETNA |
| North Carolina | Other | 180030820 | AETNA |
| North Carolina | Other | 75511 | AETNA |
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