Scofield, Keegan Michael

Scofield, Keegan Michael is an individual health care provider with primary practice located at 23 W Market St Ste 101 , Corning NY 14830-2600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Scofield, Keegan Michael can be contacted via phone (607) 846-3960.

Contact Information

Primary practice address
23 W Market St Ste 101 Corning NY 14830-2600
Phone: (607) 846-3960
Fax: (607) 973-2309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 350032 New York

Profile Details

NPI number 1669192589
LBN Legal business name Scofield, Keegan Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2022
Last updated Sep 8th, 2022 - about 2 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 1669192589 NPPES
New York MEDICAID 1669192589

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