Ross, Scott M

Ross, Scott M is an individual health care provider with primary practice located at 4201 Excelsior Blvd , St Louis Park MN 55416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ross, Scott M can be contacted via phone (952) 933-8900.

Contact Information

Primary practice address
4201 Excelsior Blvd St Louis Park MN 55416
Phone: (952) 933-8900
Fax: (952) 945-9536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 21367 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 29881 Minnesota

Profile Details

NPI number 1417944349
LBN Legal business name Ross, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 4th, 2019 - 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 1417944349 NPPES
Arizona MEDICAID 130684

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