Cryder, Scott J

Cryder, Scott J is an individual health care provider with primary practice located at 819 State Route 664 N , Logan OH 43138. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cryder, Scott J can be contacted via phone (740) 380-8140.

Contact Information

Primary practice address
819 State Route 664 N Logan OH 43138
Phone: (740) 380-8140
Fax: (740) 380-8150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50002332 Ohio

Profile Details

NPI number 1215018205
LBN Legal business name Cryder, Scott J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Feb 1st, 2021 - about 5 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 1215018205 NPPES
Ohio MEDICAID 2330150
Ohio Other 000000547134
Ohio Other 2553018

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