Southerland, Scott Alan

Southerland, Scott Alan is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1379. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Southerland, Scott Alan can be contacted via phone (630) 232-0280.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1379
Phone: (630) 232-0280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TA1704 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 695 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006027 Illinois

Profile Details

NPI number 1639492804
LBN Legal business name Southerland, Scott Alan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2010
Last updated Feb 15th, 2022 - about 3 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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