Scott, Shaney L

Scott, Shaney L is an individual health care provider with primary practice located at 740 S Main St , Cheboygan MI 49721-2220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Scott, Shaney L can be contacted via phone (231) 627-5601.

Contact Information

Primary practice address
740 S Main St Cheboygan MI 49721-2220
Fax: (231) 627-1846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301057706 Michigan

Profile Details

NPI number 1740208099
LBN Legal business name Scott, Shaney L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
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 1740208099 NPPES
Michigan Other 010A660000 GROUP BLUE CROSS
Michigan Other 0101600192 GROUP BLUE CROSS
Michigan MEDICAID 4866274 GROUP BLUE CROSS

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