Scott, Keith David

Scott, Keith David is an individual health care provider with primary practice located at 10525 West Dr , Fairfax VA 22030-4230. 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, Keith David can be contacted via phone (703) 934-9411.

Contact Information

Primary practice address
10525 West Dr Fairfax VA 22030-4230
Phone: (703) 934-9411
Fax: (703) 934-9497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2305002566 Virginia

Profile Details

NPI number 1902968761
LBN Legal business name Scott, Keith David
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Oct 5th, 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 1902968761 NPPES
District of Columbia Other G02052 MEDICARE GROUP PIN

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