Scott, Charles C

Scott, Charles C is an individual health care provider with primary practice located at 1905 W 19Th St , Mountain Grove MO 65711-1287. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Scott, Charles C can be contacted via phone (417) 926-1770.

Contact Information

Primary practice address
1905 W 19Th St Mountain Grove MO 65711-1287
Phone: (417) 926-1770
Fax: (417) 926-1785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 28379 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28379 Missouri

Profile Details

NPI number 1871635730
LBN Legal business name Scott, Charles C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 22nd, 2015 - about 11 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 1871635730 NPPES
Missouri Other MA2517 MEDICARE - GROUP
Missouri Other 26D2006074 MEDICARE - GROUP
Missouri MEDICAID 1871635730 MEDICARE - GROUP

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