Scavo, Vincent A.

Scavo, Vincent A. is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Suite 102, Fort Wayne IN 46804-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Scavo, Vincent A. can be contacted via phone (260) 458-3555.

Contact Information

Primary practice address
7910 W Jefferson Blvd Suite 102 Fort Wayne IN 46804-4159
Phone: (260) 458-3555
Fax: (260) 458-3530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01044731A Indiana

Profile Details

NPI number 1679575435
LBN Legal business name Scavo, Vincent A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 6th, 2020 - about 5 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 1679575435 NPPES
Indiana MEDICAID 200131210
Indiana MEDICAID 2308845
Indiana MEDICAID 4666836

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