Wissman, Scott D.
Wissman, Scott D. is an individual health care provider with primary practice located at 9601 Blackwell Rd Ste 300 , Rockville MD 20850-3472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wissman, Scott D. can be contacted via phone (301) 563-9333.Contact Information
Primary practice address
9601 Blackwell Rd Ste 300
Rockville MD 20850-3472
Phone: (301) 563-9333
Fax: (240) 800-1950
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D59935 | Maryland |
Profile Details
NPI number | 1326013087 |
---|---|
LBN Legal business name | Wissman, Scott D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326013087 | NPPES |
Maryland | MEDICAID | 213221400 |
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