Mott, Brian David

Mott, Brian David is an individual health care provider with primary practice located at 720 Madison Ave , Scranton PA 18510-1609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Mott, Brian David can be contacted via phone (570) 343-1115.

Contact Information

Primary practice address
720 Madison Ave Scranton PA 18510-1609
Phone: (570) 343-1115
Fax: (570) 343-5865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD073573L Pennsylvania
Other Service Providers / Specialist 174400000X MD-073573L Pennsylvania

Profile Details

NPI number 1639165111
LBN Legal business name Mott, Brian David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Aug 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639165111 NPPES
Pennsylvania MEDICAID 01844694

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