Scott, Michael D

Scott, Michael D is an individual health care provider with primary practice located at 4017 Rawlins St , Cheyenne WY 82001-1800. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Scott, Michael D can be contacted via phone (307) 635-2562.

Contact Information

Primary practice address
4017 Rawlins St Cheyenne WY 82001-1800
Phone: (307) 635-2562
Fax: (307) 637-2867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA208 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-2238 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 208 Wyoming

Profile Details

NPI number 1114007028
LBN Legal business name Scott, Michael D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 7th, 2022 - about 3 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 1114007028 NPPES
Wyoming Other 970026026 RAIL ROAD MEDICARE
Wyoming MEDICAID 111303800 RAIL ROAD MEDICARE
Wyoming Other 311196 RAIL ROAD MEDICARE

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