Scott, Jordan E.
Scott, Jordan E. is an sole proprietor health care provider with primary practice located at 79 Erdman Way Suite 101, Leominster MA 01453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Scott, Jordan E. can be contacted via phone (978) 537-4805.Contact Information
Primary practice address
79 Erdman Way Suite 101
Leominster MA 01453
Phone: (978) 537-4805
Fax: (978) 537-2185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 214922 | Massachusetts |
Profile Details
| NPI number | 1275517245 |
|---|---|
| LBN Legal business name | Scott, Jordan E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | May 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275517245 | NPPES |
| Massachusetts | MEDICAID | 2119552 |
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