Scanlon, Robert

Scanlon, Robert is an individual health care provider with primary practice located at 1811 Edwina Dr , Vidalia GA 30474-8963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Scanlon, Robert can be contacted via phone (912) 538-8105.

Contact Information

Primary practice address
1811 Edwina Dr Vidalia GA 30474-8963
Phone: (912) 538-8105
Fax: (912) 538-8109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 65886 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 65886 Georgia

Profile Details

NPI number 1609874197
LBN Legal business name Scanlon, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Oct 17th, 2019 - about 7 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 1609874197 NPPES
Other P2754298 OXFORD
MEDICAID 003107027A OXFORD
Other 9392179 OXFORD
Other 2K3975 OXFORD
Other 3263210 OXFORD

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