Segal, Scott David

Segal, Scott David is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Segal, Scott David can be contacted via phone (719) 365-1292.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909
Phone: (719) 365-1292
Fax: (719) 365-6997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00002054 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0052634 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO23435 Oregon

Profile Details

NPI number 1538149794
LBN Legal business name Segal, Scott David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Jul 3rd, 2018 - 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 1538149794 NPPES
Oregon MEDICAID 244091
Oregon Other 138926

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