Dedoe, Scott Michael

Dedoe, Scott Michael is an individual health care provider with primary practice located at 1221 Pine Grove Ave Emergency Medicine Department, Port Huron MI 48060-3511. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dedoe, Scott Michael can be contacted via phone (810) 989-3300.

Contact Information

Primary practice address
1221 Pine Grove Ave Emergency Medicine Department Port Huron MI 48060-3511
Phone: (810) 989-3300
Fax: (810) 985-2671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006596 Michigan

Profile Details

NPI number 1154669257
LBN Legal business name Dedoe, Scott Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Apr 13th, 2016 - about 9 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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