Seller, Scott Evan

Seller, Scott Evan is an sole proprietor health care provider with primary practice located at 103 Ridgeway St , Hot Springs AR 71901-7102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Seller, Scott Evan can be contacted via phone (501) 321-2473.

Contact Information

Primary practice address
103 Ridgeway St Hot Springs AR 71901-7102
Phone: (501) 321-2473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2286 Arkansas

Profile Details

NPI number 1104880657
LBN Legal business name Seller, Scott Evan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated May 26th, 2011 - about 13 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 1104880657 NPPES
Arkansas Other 49282G846 GROUP MEMBER PTAN
Arkansas MEDICAID 102427722 GROUP MEMBER PTAN

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