Scott, Michael Shane
Scott, Michael Shane is an individual health care provider with primary practice located at 118 Fairfield Dr Internal Medicine And Pediatric Clinic Of New Albany, New Albany MS 38652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Scott, Michael Shane can be contacted via phone (662) 534-0898.Contact Information
Primary practice address
118 Fairfield Dr Internal Medicine And Pediatric Clinic Of New Albany
New Albany MS 38652
Phone: (662) 534-0898
Fax: (662) 534-8905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17807 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17807 | Mississippi |
Profile Details
| NPI number | 1275535551 |
|---|---|
| LBN Legal business name | Scott, Michael Shane |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 5th, 2024 - about 2 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 | 1275535551 | NPPES |
| Mississippi | MEDICAID | 100147271 |
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