Reddin, Scotty L

Reddin, Scotty L is an individual health care provider with primary practice located at 1801 W 40Th Ave Ste 2B, Pine Bluff AR 71603-6957. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Reddin, Scotty L can be contacted via phone (870) 535-7457.

Contact Information

Primary practice address
1801 W 40Th Ave Ste 2B Pine Bluff AR 71603-6957
Phone: (870) 535-7457
Fax: (870) 535-2522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01282 Arkansas

Profile Details

NPI number 1578568507
LBN Legal business name Reddin, Scotty L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 24th, 2008 - about 16 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 1578568507 NPPES
Arkansas MEDICAID 142564701
Arkansas Other 5W210
Arkansas Other 430061249

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