Robertson, Scott E

Robertson, Scott E is an individual health care provider with primary practice located at 877 Oak Park Blvd , Pismo Beach CA 93449-3292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Robertson, Scott E can be contacted via phone (805) 474-8450.

Contact Information

Primary practice address
877 Oak Park Blvd Pismo Beach CA 93449-3292
Phone: (805) 474-8450
Fax: (805) 474-8454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A81709 California

Profile Details

NPI number 1811970437
LBN Legal business name Robertson, Scott E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 22nd, 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 1811970437 NPPES
California Other 7202506 AETNA PIN
California Other 00A817090 AETNA PIN
California Other A81709 AETNA PIN

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