Selco, Scott Loren

Selco, Scott Loren is an individual health care provider with primary practice located at 10001 S Eastern Ave Ste 410 , Henderson NV 89052-3908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Selco, Scott Loren can be contacted via phone (702) 616-5617.

Contact Information

Primary practice address
10001 S Eastern Ave Ste 410 Henderson NV 89052-3908
Phone: (702) 616-5617
Fax: (602) 798-9949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 11189 Nevada
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 11189 Nevada

Profile Details

NPI number 1881663763
LBN Legal business name Selco, Scott Loren
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 22nd, 2021 - about 5 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 1881663763 NPPES
Arizona MEDICAID 1881663763
Arizona MEDICAID 100504507
Arizona MEDICAID 1881663763
Arizona MEDICAID 971508
Arizona MEDICAID XPY205008
Arizona MEDICAID 1881663763

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