Scotti, Jason

Scotti, Jason is an individual health care provider with primary practice located at 695 E 16Th St Ste B , Berwick PA 18603-2320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Scotti, Jason can be contacted via phone (570) 752-3640.

Contact Information

Primary practice address
695 E 16Th St Ste B Berwick PA 18603-2320
Phone: (570) 752-3640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD446671 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD446671 Pennsylvania

Profile Details

NPI number 1255574349
LBN Legal business name Scotti, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated Jul 16th, 2024 - about 2 months 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 1255574349 NPPES
Pennsylvania MEDICAID 1028353330001

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