Bandel, Scot W

Bandel, Scot W is an individual health care provider with primary practice located at 729 N Custer Ave , Grand Island NE 68803-4311. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bandel, Scot W can be contacted via phone (308) 382-9266.

Contact Information

Primary practice address
729 N Custer Ave Grand Island NE 68803-4311
Fax: (308) 382-5290
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 307 Nebraska

Profile Details

NPI number 1497774137
LBN Legal business name Bandel, Scot W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 6th, 2011 - about 15 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 1497774137 NPPES
Nebraska MEDICAID 10026091400

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