Homann, Scott R

Homann, Scott R is an individual health care provider with primary practice located at 1340 Charles St Ste 404 , Rockford IL 61104-2200. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Homann, Scott R can be contacted via phone (779) 696-1890.

Contact Information

Primary practice address
1340 Charles St Ste 404 Rockford IL 61104-2200
Phone: (779) 696-1890
Fax: (779) 696-5898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-069323 Illinois
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036069323 Illinois

Profile Details

NPI number 1689674541
LBN Legal business name Homann, Scott R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Apr 15th, 2021 - about 5 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 1689674541 NPPES
Illinois MEDICAID 036-069323

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