Sholem, Scott

Sholem, Scott is an sole proprietor health care provider with primary practice located at 16601 N 40Th St Ste 204 , Phoenix AZ 85032-3356. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Sholem, Scott can be contacted via phone (602) 996-4747.

Contact Information

Primary practice address
16601 N 40Th St Ste 204 Phoenix AZ 85032-3356
Phone: (602) 996-4747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 008470 Arizona

Profile Details

NPI number 1114188950
LBN Legal business name Sholem, Scott
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Oct 21st, 2021 - about 4 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 1114188950 NPPES
Arizona MEDICAID 007970

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