Vankeulen, Scott Gregory

Vankeulen, Scott Gregory is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Vankeulen, Scott Gregory can be contacted via phone (605) 333-6688.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 333-6688
Fax: (605) 333-1578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38833 Tennessee

Profile Details

NPI number 1053359190
LBN Legal business name Vankeulen, Scott Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 20th, 2009 - about 17 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 1053359190 NPPES
Tennessee MEDICAID 3339665
Tennessee Other P00240877
Tennessee Other 4091381

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