Scott, Grant
Scott, Grant is an individual health care provider with primary practice located at 3800 S National Ave Ste 400 , Springfield MO 65807-5272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Scott, Grant can be contacted via phone (417) 875-2632.Contact Information
Primary practice address
3800 S National Ave Ste 400
Springfield MO 65807-5272
Phone: (417) 875-2632
Fax: (417) 875-3737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R73447 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2019022904 | Missouri |
Profile Details
| NPI number | 1760744916 |
|---|---|
| LBN Legal business name | Scott, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Aug 20th, 2019 - about 5 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 | 1760744916 | NPPES |
| Missouri | MEDICAID | 200070649 |
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