Scott, Carl Brent

Scott, Carl Brent is an individual health care provider with primary practice located at 2021 Mahaney Ave., Ste. 6 Northeastern Physical Rehab, Tahlequah OK 74464. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Scott, Carl Brent can be contacted via phone (918) 458-5115.

Contact Information

Primary practice address
2021 Mahaney Ave., Ste. 6 Northeastern Physical Rehab Tahlequah OK 74464
Phone: (918) 458-5115
Fax: (918) 458-5119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1994 Oklahoma

Profile Details

NPI number 1194768655
LBN Legal business name Scott, Carl Brent
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 6th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194768655 NPPES
Oklahoma Other 650020254 RR MEDICARE
Oklahoma MEDICAID 100834890A RR MEDICARE
Oklahoma Other A002 RR MEDICARE
Oklahoma Other 175254900 RR MEDICARE

Popular Providers