Scott, John Keith

Scott, John Keith is an individual health care provider with primary practice located at 5360 Twin Hickory Rd , Glen Allen VA 23059-5682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scott, John Keith can be contacted via phone (804) 346-3200.

Contact Information

Primary practice address
5360 Twin Hickory Rd Glen Allen VA 23059-5682
Fax: (804) 346-4075
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101233714 Virginia

Profile Details

NPI number 1538103114
LBN Legal business name Scott, John Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 2nd, 2011 - about 13 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 1538103114 NPPES
Virginia MEDICAID 1538103114
Virginia Other 301259
Virginia Other P00278448
Virginia MEDICAID 010065488

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