Scott, Charles L.

Scott, Charles L. is an individual health care provider with primary practice located at 2230 Stockton Blvd , Sacramento CA 95817-1419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Scott, Charles L. can be contacted via phone (916) 734-2972.

Contact Information

Primary practice address
2230 Stockton Blvd Sacramento CA 95817-1419
Phone: (916) 734-2972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X G065591 California

Profile Details

NPI number 1659354819
LBN Legal business name Scott, Charles L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1659354819 NPPES
California MEDICAID 00G65591

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