Jolly, Scott
Jolly, Scott is an individual health care provider with primary practice located at 1320 W Main St , Newark OH 43055-1822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jolly, Scott can be contacted via phone (220) 564-4151.Contact Information
Primary practice address
1320 W Main St
Newark OH 43055-1822
Phone: (220) 564-4151
Fax: (220) 564-7153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34007059 | Ohio |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34-007059 | Ohio |
Profile Details
| NPI number | 1790783694 |
|---|---|
| LBN Legal business name | Jolly, Scott |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 24th, 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 | 1790783694 | NPPES |
| Ohio | MEDICAID | 2252851 |
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