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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
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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