Scott, Quincy O
Scott, Quincy O is an individual health care provider with primary practice located at 305 W Jackson St Suite 200, Carbondale IL 62901-1474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scott, Quincy O can be contacted via phone (618) 536-6621.Contact Information
Primary practice address
305 W Jackson St Suite 200
Carbondale IL 62901-1474
Phone: (618) 536-6621
Fax: (618) 453-1102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-084940 | Illinois |
Profile Details
| NPI number | 1992781710 |
|---|---|
| LBN Legal business name | Scott, Quincy O |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Dec 28th, 2020 - about 6 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 | 1992781710 | NPPES |
| Illinois | MEDICAID | 036084940 |
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