Hannum, Scott R
Hannum, Scott R is an individual health care provider with primary practice located at 720 W Oak St Ste 309 , Kissimmee FL 34741-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Hannum, Scott R can be contacted via phone (407) 518-4982.Contact Information
Primary practice address
720 W Oak St Ste 309
Kissimmee FL 34741-4910
Phone: (407) 518-4982
Fax: (407) 518-1748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | OS8740 | Florida |
Profile Details
| NPI number | 1679595615 |
|---|---|
| LBN Legal business name | Hannum, Scott R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jun 1st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679595615 | NPPES |
| Florida | Other | 17027 | BCBS |
| Florida | MEDICAID | 264703600 | BCBS |
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