Stoll, Scott T
Stoll, Scott T is an individual health care provider with primary practice located at 5717 Edwards Ranch Rd , Fort Worth TX 76109-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Stoll, Scott T can be contacted via phone (817) 294-3195.Contact Information
Primary practice address
5717 Edwards Ranch Rd
Fort Worth TX 76109-4116
Phone: (817) 294-3195
Fax: (817) 294-3466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | H9575 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | H9575 | Texas |
Profile Details
| NPI number | 1275506644 |
|---|---|
| LBN Legal business name | Stoll, Scott T |
| Credentials | DO, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 1st, 2013 - about 13 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 | 1275506644 | NPPES |
| Texas | Other | 8CE992 | BCBS |
| Texas | MEDICAID | 101368205 | BCBS |
| Texas | MEDICAID | 101368202 | BCBS |
| Texas | Other | 84W011 | BCBS |
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