Keith, Scott H

Keith, Scott H is an individual health care provider with primary practice located at 100 W 4Th St Suite 200, Cookeville TN 38501-2448. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Keith, Scott H can be contacted via phone (931) 528-1575.

Contact Information

Primary practice address
100 W 4Th St Suite 200 Cookeville TN 38501-2448
Fax: (931) 526-2962
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 026318 Tennessee

Profile Details

NPI number 1184669061
LBN Legal business name Keith, Scott H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jun 1st, 2021 - about 4 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 1184669061 NPPES
Tennessee MEDICAID 3089709

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