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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1275535551 NPPES
Mississippi MEDICAID 100147271

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