Scott, Jerry W
Scott, Jerry W is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 1500, Huntington WV 25701-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scott, Jerry W can be contacted via phone (304) 691-1100.Contact Information
Primary practice address
1600 Medical Center Dr Suite 1500
Huntington WV 25701-3656
Phone: (304) 691-1100
Fax: (304) 691-1183
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18844 | West Virginia |
Profile Details
NPI number | 1649233271 |
---|---|
LBN Legal business name | Scott, Jerry W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Nov 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649233271 | NPPES |
West Virginia | MEDICAID | 0054893000 | |
West Virginia | MEDICAID | 64025398 | |
West Virginia | MEDICAID | 2209550 |
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