Boerth, Scott
Boerth, Scott is an individual health care provider with primary practice located at 3698 S Main St , Blacksburg VA 24060-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boerth, Scott can be contacted via phone (540) 951-6070.Contact Information
Primary practice address
3698 S Main St
Blacksburg VA 24060-7015
Phone: (540) 951-6070
Fax: (540) 951-6071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101226430 | Virginia |
Profile Details
| NPI number | 1366439721 |
|---|---|
| LBN Legal business name | Boerth, Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Feb 8th, 2022 - 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 | 1366439721 | NPPES |
| Virginia | MEDICAID | 1366439721 | |
| Virginia | MEDICAID | 005846129 | |
| Virginia | MEDICAID | 010287910 |
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