Scott, Glen R

Scott, Glen R is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 120A , West Columbia SC 29169-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Scott, Glen R can be contacted via phone (803) 936-7076.

Contact Information

Primary practice address
146 E Hospital Dr Ste 120A West Columbia SC 29169-4800
Phone: (803) 936-7076
Fax: (803) 936-7925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0590 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 590 South Carolina

Profile Details

NPI number 1184656233
LBN Legal business name Scott, Glen R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 18th, 2024 - about last year

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 1184656233 NPPES
South Carolina MEDICAID 0590

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