Corey, Scott Nicholas

Corey, Scott Nicholas is an individual health care provider with primary practice located at 20 Market St , Manchester NH 03101-1957. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Corey, Scott Nicholas can be contacted via phone (603) 622-4747.

Contact Information

Primary practice address
20 Market St Manchester NH 03101-1957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X New Hampshire

Profile Details

NPI number 1366001273
LBN Legal business name Corey, Scott Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2019
Last updated Jun 13th, 2019 - about 6 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 1366001273 NPPES
New Hampshire MEDICAID 1023175072

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