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:
Health care specialties
| Specialty | Code | License # | 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 11 months 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 | 1184656233 | NPPES |
| South Carolina | MEDICAID | 0590 |
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