Scott, Marcia Kate

Scott, Marcia Kate is an individual health care provider with primary practice located at 305 W Jackson St Suite 200, Carbondale IL 62901-1474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Scott, Marcia Kate can be contacted via phone (618) 536-6621.

Contact Information

Primary practice address
305 W Jackson St Suite 200 Carbondale IL 62901-1474
Phone: (618) 536-6621
Fax: (618) 453-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085000735 Illinois

Profile Details

NPI number 1801859384
LBN Legal business name Scott, Marcia Kate
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Dec 9th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801859384 NPPES
Illinois Other 085000735 STATE LICENSE
Illinois Other 204683 STATE LICENSE
Illinois MEDICAID 370966854024 STATE LICENSE
Illinois Other CF3444 STATE LICENSE

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