Scanlon, John Peter

Scanlon, John Peter is an sole proprietor health care provider with primary practice located at 1 Columbus Ctr Suite 619, Virginia Beach VA 23462-6722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Scanlon, John Peter can be contacted via phone (757) 672-1971.

Contact Information

Primary practice address
1 Columbus Ctr Suite 619 Virginia Beach VA 23462-6722
Phone: (757) 672-1971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 02323 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X DO 458 Alabama
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 0102201920 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102201920 Virginia

Profile Details

NPI number 1164698213
LBN Legal business name Scanlon, John Peter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated Feb 8th, 2013 - about 11 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 1164698213 NPPES
Kentucky MEDICAID 64058597

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