Van Gorder, Scott C.

Van Gorder, Scott C. is an individual health care provider with primary practice located at 10 George St , Oswego NY 13126-3276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Gorder, Scott C. can be contacted via phone (315) 342-0888.

Contact Information

Primary practice address
10 George St Oswego NY 13126-3276
Phone: (315) 342-0888
Fax: (315) 343-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 213595 New York

Profile Details

NPI number 1790892644
LBN Legal business name Van Gorder, Scott C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated May 22nd, 2013 - about 12 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 1790892644 NPPES
New York MEDICAID 02081198

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