Miethke, Scott Carl

Miethke, Scott Carl is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miethke, Scott Carl can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax: (765) 448-7627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01038378A Indiana

Profile Details

NPI number 1689643397
LBN Legal business name Miethke, Scott Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jan 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689643397 NPPES
Indiana Other E43782 MEDICARE UPIN NUMBER
Indiana Other 000000185176 MEDICARE UPIN NUMBER
Indiana MEDICAID 100262390 MEDICARE UPIN NUMBER
Indiana MEDICAID MI91990011 MEDICARE UPIN NUMBER

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