Swenson, Scott A

Swenson, Scott A is an individual health care provider with primary practice located at 111 17Th Ave E , Alexandria MN 56308-3703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Swenson, Scott A can be contacted via phone (320) 762-6040.

Contact Information

Primary practice address
111 17Th Ave E Alexandria MN 56308-3703
Fax: (320) 762-6038
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25488 Minnesota

Profile Details

NPI number 1891795241
LBN Legal business name Swenson, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891795241 NPPES
Minnesota Other 411772562 TRICARE
Minnesota Other 16-02279 TRICARE
Minnesota Other 411772562 TRICARE
Minnesota Other 965251008799 TRICARE
Minnesota Other 26047 TRICARE
Minnesota Other 300137475 TRICARE
Minnesota Other 107115C561 TRICARE
Minnesota Other 026L8SW TRICARE
Minnesota MEDICAID 647267200 TRICARE
Minnesota Other HP38512 TRICARE

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