Scott, John Russell
Scott, John Russell is an individual health care provider with primary practice located at 475 Heywood Ave , Spartanburg SC 29307-1726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Scott, John Russell can be contacted via phone (864) 699-5020.Contact Information
Primary practice address
475 Heywood Ave
Spartanburg SC 29307-1726
Phone: (864) 699-5020
Fax: (864) 699-5050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 7179 | South Carolina |
Profile Details
| NPI number | 1437105673 |
|---|---|
| LBN Legal business name | Scott, John Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 23rd, 2009 - about 15 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 | 1437105673 | NPPES |
| South Carolina | MEDICAID | 071790 |
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