Mcmahon, Scott W
Mcmahon, Scott W is an individual health care provider with primary practice located at 109 W Bland St , Roswell NM 88203-5708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mcmahon, Scott W can be contacted via phone (575) 622-7337.Contact Information
Primary practice address
109 W Bland St
Roswell NM 88203-5708
Phone: (575) 622-7337
Fax: (575) 623-3498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 92-302 | New Mexico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 92-302 | New Mexico |
Profile Details
| NPI number | 1528078938 |
|---|---|
| LBN Legal business name | Mcmahon, Scott W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1528078938 | NPPES |
| New Mexico | Other | NM009Y96 | BLUE CROSS BLUE SHIELD ID |
| New Mexico | MEDICAID | 17600065 | BLUE CROSS BLUE SHIELD ID |
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