Scott, Edward Lee

Scott, Edward Lee is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2479. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Scott, Edward Lee can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2479
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 05002042A Indiana

Profile Details

NPI number 1053497958
LBN Legal business name Scott, Edward Lee
Credentials PT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Oct 15th, 2018 - about 8 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 1053497958 NPPES
Indiana Other 000000528618 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200896760 ANTHEM PROVIDER NUMBER

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