Tetreault, Scott A.

Tetreault, Scott A. is an individual health care provider with primary practice located at 2351 Phillips Rd , Tallahassee FL 32308-5333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Tetreault, Scott A. can be contacted via phone (850) 877-8166.

Contact Information

Primary practice address
2351 Phillips Rd Tallahassee FL 32308-5333
Phone: (850) 877-8166
Fax: (850) 877-0431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME65204 Florida

Profile Details

NPI number 1457334914
LBN Legal business name Tetreault, Scott A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Sep 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457334914 NPPES
Florida MEDICAID 256881100
Florida Other 830005937

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