Benton, Scott Anthony

Benton, Scott Anthony is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is his primary health care specialty. Benton, Scott Anthony can be contacted via phone (601) 815-0115.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-0115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20296 Mississippi
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 20296 Mississippi

Profile Details

NPI number 1437151859
LBN Legal business name Benton, Scott Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 17th, 2012 - about 13 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 1437151859 NPPES
Louisiana MEDICAID 1989690

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