Withers, Scott Edward
Withers, Scott Edward is an individual health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Withers, Scott Edward can be contacted via phone (972) 310-7339.Contact Information
Primary practice address
9900 Bren Rd E
Minnetonka MN 55343-9664
Phone: (972) 310-7339
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP110973 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 648384 | Texas |
Profile Details
NPI number | 1417991423 |
---|---|
LBN Legal business name | Withers, Scott Edward |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2006 |
Last updated | Sep 14th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417991423 | NPPES |
Texas | Other | 00X940 | MEDICARE GROUP PTAN |
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