Persellin, Scott Tyler

Persellin, Scott Tyler is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Persellin, Scott Tyler can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME51867 Florida
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 26602 Minnesota

Profile Details

NPI number 1386634178
LBN Legal business name Persellin, Scott Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 14th, 2018 - about 6 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 1386634178 NPPES
Florida Other 05803 BLUECROSS/BLUESHIELD
Florida MEDICAID 268820400 BLUECROSS/BLUESHIELD
Florida Other 700006030 BLUECROSS/BLUESHIELD

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