Engelstad, Scott E

Engelstad, Scott E is an individual health care provider with primary practice located at 523 N 3Rd St , Brainerd MN 56401-3054. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Engelstad, Scott E can be contacted via phone (218) 829-2861.

Contact Information

Primary practice address
523 N 3Rd St Brainerd MN 56401-3054
Phone: (218) 829-2861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55611 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 1497003081 Kansas

Profile Details

NPI number 1891986923
LBN Legal business name Engelstad, Scott E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891986923 NPPES
Kansas Other P00625414 RR MEDICARE GROUP CQ2302
Kansas Other 145989 RR MEDICARE GROUP CQ2302
Kansas MEDICAID 200508500A RR MEDICARE GROUP CQ2302

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