Glasgow, Scott

Glasgow, Scott is an individual health care provider with primary practice located at 16338 N Il Highway 37 , Mount Vernon IL 62864-8178. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Glasgow, Scott can be contacted via phone (618) 242-1510.

Contact Information

Primary practice address
16338 N Il Highway 37 Mount Vernon IL 62864-8178
Phone: (618) 242-1510
Fax: (618) 242-0950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 178.011015 Illinois

Profile Details

NPI number 1104336171
LBN Legal business name Glasgow, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated Oct 4th, 2017 - 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 1104336171 NPPES
Illinois MEDICAID 1649404708

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