Adams, Scott Jerauld
Adams, Scott Jerauld is an individual health care provider with primary practice located at 18 Constitution Dr Ste 1 , Bedford NH 03110-6076. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adams, Scott Jerauld can be contacted via phone (303) 898-9347.Contact Information
Primary practice address
18 Constitution Dr Ste 1
Bedford NH 03110-6076
Phone: (303) 898-9347
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2872 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 00015 | New Hampshire |
Profile Details
| NPI number | 1871730390 |
|---|---|
| LBN Legal business name | Adams, Scott Jerauld |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2009 |
| Last updated | Mar 24th, 2021 - 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 | 1871730390 | NPPES |
| Other | P01003583 | RAILROAD MEDICARE | |
| MEDICAID | 00983021 | RAILROAD MEDICARE | |
| Other | 2872 | RAILROAD MEDICARE | |
| Other | 00015 | RAILROAD MEDICARE |
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