Sims, Scott G
Sims, Scott G is an individual health care provider with primary practice located at 3640 Nw Samaritan Dr Ste 120 , Corvallis OR 97330-3738. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Sims, Scott G can be contacted via phone (541) 768-5223.Contact Information
Primary practice address
3640 Nw Samaritan Dr Ste 120
Corvallis OR 97330-3738
Phone: (541) 768-5223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002083 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110002857 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3418 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA179815 | Oregon |
Profile Details
| NPI number | 1497925135 |
|---|---|
| LBN Legal business name | Sims, Scott G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2008 |
| Last updated | Apr 30th, 2021 - about 4 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 | 1497925135 | NPPES |
| Virginia | MEDICAID | 1497925135 |
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