Surdut, Scott H.
Surdut, Scott H. is an sole proprietor health care provider with primary practice located at 1013 Reservoir Ave , Cranston RI 02910-5134. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Surdut, Scott H. can be contacted via phone (401) 942-4087.Contact Information
Primary practice address
1013 Reservoir Ave
Cranston RI 02910-5134
Phone: (401) 942-4087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTA 00356 | Rhode Island |
Profile Details
| NPI number | 1982780433 |
|---|---|
| LBN Legal business name | Surdut, Scott H. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | May 2nd, 2008 - about 18 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 | 1982780433 | NPPES |
| Rhode Island | Other | 050381140 | TAX # |
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