Scott, John Keith
Scott, John Keith is an individual health care provider with primary practice located at 5360 Twin Hickory Rd , Glen Allen VA 23059-5682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scott, John Keith can be contacted via phone (804) 346-3200.Contact Information
Primary practice address
5360 Twin Hickory Rd
Glen Allen VA 23059-5682
Phone: (804) 346-3200
Fax: (804) 346-4075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101233714 | Virginia |
Profile Details
| NPI number | 1538103114 |
|---|---|
| LBN Legal business name | Scott, John Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 2nd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538103114 | NPPES |
| Virginia | MEDICAID | 1538103114 | |
| Virginia | Other | 301259 | |
| Virginia | Other | P00278448 | |
| Virginia | MEDICAID | 010065488 |
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