Scott, Bruce A

Scott, Bruce A is an individual health care provider with primary practice located at 6420 Dutchmans Pkwy 380, Louisville KY 40205-3372. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Scott, Bruce A can be contacted via phone (502) 894-8441.

Contact Information

Primary practice address
6420 Dutchmans Pkwy 380 Louisville KY 40205-3372
Phone: (502) 894-8441
Fax: (502) 894-4453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01041529B Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 29592 Kentucky

Profile Details

NPI number 1881692317
LBN Legal business name Scott, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 12th, 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 1881692317 NPPES
Kentucky MEDICAID 64295926
Kentucky Other 000000045446
Kentucky Other 04006864
Kentucky MEDICAID 100347690A

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