Scott, Michael Allen

Scott, Michael Allen is an individual health care provider with primary practice located at 540 E 1St St , Waconia MN 55387-1601. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Scott, Michael Allen can be contacted via phone (952) 442-4437.

Contact Information

Primary practice address
540 E 1St St Waconia MN 55387-1601
Phone: (952) 442-4437
Fax: (952) 442-3084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2561 Minnesota

Profile Details

NPI number 1194727552
LBN Legal business name Scott, Michael Allen
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 19th, 2014 - about 12 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 1194727552 NPPES
Minnesota Other 44G78SC BLUE CROSS BLUE SHIELD
Minnesota Other HP 11407 BLUE CROSS BLUE SHIELD
Minnesota Other 0367054 BLUE CROSS BLUE SHIELD
Minnesota Other 115166 BLUE CROSS BLUE SHIELD
Minnesota Other 6167872 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 678250700 BLUE CROSS BLUE SHIELD

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