Seller, Scott Evan
Seller, Scott Evan is an sole proprietor health care provider with primary practice located at 103 Ridgeway St , Hot Springs AR 71901-7102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Seller, Scott Evan can be contacted via phone (501) 321-2473.Contact Information
Primary practice address
103 Ridgeway St
Hot Springs AR 71901-7102
Phone: (501) 321-2473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2286 | Arkansas |
Profile Details
| NPI number | 1104880657 |
|---|---|
| LBN Legal business name | Seller, Scott Evan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | May 26th, 2011 - about 15 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 | 1104880657 | NPPES |
| Arkansas | Other | 49282G846 | GROUP MEMBER PTAN |
| Arkansas | MEDICAID | 102427722 | GROUP MEMBER PTAN |
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