Pethan, Scott Michael

Pethan, Scott Michael is an sole proprietor health care provider with primary practice located at 2700 W 9Th Ave Suite 107, Oshkosh WI 54904-7247. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as his primary health care specialty. Pethan, Scott Michael can be contacted via phone (920) 236-1835.

Contact Information

Primary practice address
2700 W 9Th Ave Suite 107 Oshkosh WI 54904-7247
Phone: (920) 236-1835
Fax: (920) 223-1182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X 136064-30 Wisconsin

Profile Details

NPI number 1598039943
LBN Legal business name Pethan, Scott Michael
Credentials MS, BSN, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2012
Last updated Mar 2nd, 2012 - about 12 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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