Scurlock, William

Scurlock, William is an individual health care provider with primary practice located at 110 S 17Th St , St Charles IL 60174-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scurlock, William can be contacted via phone (630) 377-2800.

Contact Information

Primary practice address
110 S 17Th St St Charles IL 60174-2526
Phone: (630) 377-2800
Fax: (630) 377-6774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036061339 Illinois

Profile Details

NPI number 1699726505
LBN Legal business name Scurlock, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 29th, 2018 - about 8 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 1699726505 NPPES
Illinois MEDICAID 036061339

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