Scott, Colette Marie
Scott, Colette Marie is an individual health care provider with primary practice located at 1668 West Peace Street , Canton MS 39046-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Scott, Colette Marie can be contacted via phone (662) 746-0907.Contact Information
Primary practice address
1668 West Peace Street
Canton MS 39046-4500
Phone: (662) 746-0907
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17998 | Mississippi |
Profile Details
| NPI number | 1497802581 |
|---|---|
| LBN Legal business name | Scott, Colette Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 28th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497802581 | NPPES |
| Mississippi | Other | P00634038 | RR MEDICARE PTAN |
| Mississippi | MEDICAID | 07088805 | RR MEDICARE PTAN |
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