Scott, Richard Allen

Scott, Richard Allen is an individual health care provider with primary practice located at 2060 W 24Th St , Yuma AZ 85364-6123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Scott, Richard Allen can be contacted via phone (928) 819-8999.

Contact Information

Primary practice address
2060 W 24Th St Yuma AZ 85364-6123
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8186 Arizona

Profile Details

NPI number 1609806348
LBN Legal business name Scott, Richard Allen
Credentials DC, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Nov 27th, 2019 - 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 1609806348 NPPES
Arizona MEDICAID 070743

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