Scaglia, Bennett Peter
Scaglia, Bennett Peter is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 360, Daytona Beach FL 32114-2781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Scaglia, Bennett Peter can be contacted via phone (386) 254-4199.Contact Information
Primary practice address
311 N Clyde Morris Blvd Suite 360
Daytona Beach FL 32114-2781
Phone: (386) 254-4199
Fax: (386) 947-4680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G88428 | California |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 175031 | New York |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036088435 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME103036 | Florida |
Profile Details
| NPI number | 1003880626 |
|---|---|
| LBN Legal business name | Scaglia, Bennett Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 27th, 2020 - about 4 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 | 1003880626 | NPPES |
| Illinois | MEDICAID | .36088435 | |
| Illinois | Other | 5007705 | |
| Illinois | MEDICAID | 000954100 |
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