Scowcroft, Charles W

Scowcroft, Charles W is an sole proprietor health care provider with primary practice located at 225 Medical Center Dr Ste 308 , Paducah KY 42003-7915. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Scowcroft, Charles W can be contacted via phone (270) 443-0777.

Contact Information

Primary practice address
225 Medical Center Dr Ste 308 Paducah KY 42003-7915
Fax: (270) 443-0999
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11819 South Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X TP500 Kentucky

Profile Details

NPI number 1750336863
LBN Legal business name Scowcroft, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jan 11th, 2019 - about 6 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 1750336863 NPPES
South Carolina MEDICAID 118198

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