Edelstein, Scott A

Edelstein, Scott A is an individual health care provider with primary practice located at 101 Bodin Cir 101 Bodin Cir, Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Edelstein, Scott A can be contacted via phone (707) 423-2300.

Contact Information

Primary practice address
101 Bodin Cir 101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009553 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-01875 North Carolina

Profile Details

NPI number 1831145267
LBN Legal business name Edelstein, Scott A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 15th, 2015 - about 11 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 1831145267 NPPES
New York MEDICAID 02511360

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