Schenck, Scott Carlson

Schenck, Scott Carlson is an individual health care provider with primary practice located at 3333 Evergreen Dr Ne , Grand Rapids MI 49525-9493. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Schenck, Scott Carlson can be contacted via phone (616) 364-4200.

Contact Information

Primary practice address
3333 Evergreen Dr Ne Grand Rapids MI 49525-9493
Phone: (616) 364-4200
Fax: (616) 364-7347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 4301078033 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301078033 Michigan

Profile Details

NPI number 1104806546
LBN Legal business name Schenck, Scott Carlson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 20th, 2018 - 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 1104806546 NPPES
Michigan MEDICAID 4753969

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