Scanlan, Edward S

Scanlan, Edward S is an individual health care provider with primary practice located at 1550 Midway Pl , Menasha WI 54952-1165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Scanlan, Edward S can be contacted via phone (920) 727-5633.

Contact Information

Primary practice address
1550 Midway Pl Menasha WI 54952-1165
Phone: (920) 727-5633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18464 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18464 Wisconsin

Profile Details

NPI number 1174519755
LBN Legal business name Scanlan, Edward S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 9th, 2008 - about 17 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 1174519755 NPPES
Wisconsin MEDICAID 31241900

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