Dishaw, Scott

Dishaw, Scott is an individual health care provider with primary practice located at 913 N Dixie Ave , Elizabethtown KY 42701-2503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dishaw, Scott can be contacted via phone (877) 783-6257.

Contact Information

Primary practice address
913 N Dixie Ave Elizabethtown KY 42701-2503
Phone: (877) 783-6257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02870 Kentucky

Profile Details

NPI number 1417062209
LBN Legal business name Dishaw, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 19th, 2007 - about 19 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 1417062209 NPPES
Kentucky MEDICAID 64093404

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