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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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