Scott, Patricia Annette

Scott, Patricia Annette is an individual health care provider with primary practice located at 406 Beringer Cir , Urbana IL 61802-2280. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / Dental Public Health is her primary health care specialty. Scott, Patricia Annette can be contacted via phone (217) 337-1377.

Contact Information

Primary practice address
406 Beringer Cir Urbana IL 61802-2280
Phone: (217) 337-1377
Fax: (217) 337-1322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X Illinois
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1205965548
LBN Legal business name Scott, Patricia Annette
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1205965548 NPPES
Illinois MEDICAID 1003669
Illinois MEDICAID 101248

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