Scofield, Kirk Leslie

Scofield, Kirk Leslie is an individual health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127-7135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Scofield, Kirk Leslie can be contacted via phone (651) 968-5770.

Contact Information

Primary practice address
3580 Arcade St Vadnais Heights MN 55127-7135
Phone: (651) 968-5770
Fax: (651) 968-5775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4381 Alaska
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 54590 Minnesota

Profile Details

NPI number 1972573566
LBN Legal business name Scofield, Kirk Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 2nd, 2015 - about 9 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 1972573566 NPPES
Alaska MEDICAID MD4391

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