Scott, Sam

Scott, Sam is an sole proprietor health care provider with primary practice located at 833 Anderson Ave , Coos Bay OR 97420-4641. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Scott, Sam can be contacted via phone (542) 267-3447.

Contact Information

Primary practice address
833 Anderson Ave Coos Bay OR 97420-4641
Phone: (542) 267-3447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6512 Oregon

Profile Details

NPI number 1134264021
LBN Legal business name Scott, Sam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 18 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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