Nyquist, Scott R
Nyquist, Scott R is an individual health care provider with primary practice located at 1340 Charles St Suite 100, Rockford IL 61104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nyquist, Scott R can be contacted via phone (779) 696-1900.Contact Information
Primary practice address
1340 Charles St Suite 100
Rockford IL 61104
Phone: (779) 696-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036070249 | Illinois |
Profile Details
| NPI number | 1215904958 |
|---|---|
| LBN Legal business name | Nyquist, Scott R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215904958 | NPPES |
| Illinois | MEDICAID | 036070249 |
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