Scott, Mark
Scott, Mark is an individual health care provider with primary practice located at 65 Professional Pl Ste 102103 , Bridgeport WV 26330-0258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Scott, Mark can be contacted via phone (304) 848-5770.Contact Information
Primary practice address
65 Professional Pl Ste 102103
Bridgeport WV 26330-0258
Phone: (304) 848-5770
Fax: (304) 848-0890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2012025740 | Missouri |
Profile Details
| NPI number | 1992057277 |
|---|---|
| LBN Legal business name | Scott, Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2012 |
| Last updated | Sep 7th, 2022 - about 4 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 | 1992057277 | NPPES |
| West Virginia | MEDICAID | 1992057277 |
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