Cassidy, Scott A
Cassidy, Scott A is an individual health care provider with primary practice located at 83825 Highway 9 , Ashland AL 36251-7981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cassidy, Scott A can be contacted via phone (256) 496-2576.Contact Information
Primary practice address
83825 Highway 9
Ashland AL 36251-7981
Phone: (256) 496-2576
Fax: (256) 354-1129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036136916 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 00025351 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 62414 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25351 | Alabama |
Profile Details
| NPI number | 1164403937 |
|---|---|
| LBN Legal business name | Cassidy, Scott A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Nov 7th, 2023 - about 3 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 | 1164403937 | NPPES |
| Alabama | Other | 200083846 | TAX ID |
| Alabama | MEDICAID | 310207 | TAX ID |
| Alabama | MEDICAID | 529916800 | TAX ID |
| Alabama | Other | 62414 | TAX ID |
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