Scott, David Bruce

Scott, David Bruce is an individual health care provider with primary practice located at 2100 E Lake Cook Rd Suite 1100, Buffalo Grove IL 60089-1999. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Scott, David Bruce can be contacted via phone (800) 317-0711.

Contact Information

Primary practice address
2100 E Lake Cook Rd Suite 1100 Buffalo Grove IL 60089-1999
Phone: (800) 317-0711
Fax: (800) 434-7113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 887-025 Wisconsin

Profile Details

NPI number 1043319916
LBN Legal business name Scott, David Bruce
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 11th, 2012 - about 12 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 1043319916 NPPES
Indiana Other 000000550791 ANTHEM BCBS
Indiana Other P00144281 ANTHEM BCBS
Indiana MEDICAID 200878300 ANTHEM BCBS
Indiana MEDICAID 43237000 ANTHEM BCBS

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