Wattenhofer, Scott P.

Wattenhofer, Scott P. is an individual health care provider with primary practice located at 515 N 162Nd Ave Suite 300, Omaha NE 68118-2539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wattenhofer, Scott P. can be contacted via phone (402) 393-6624.

Contact Information

Primary practice address
515 N 162Nd Ave Suite 300 Omaha NE 68118-2539
Phone: (402) 393-6624
Fax: (402) 393-6635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 18497 Nebraska
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 31435 Iowa

Profile Details

NPI number 1215911813
LBN Legal business name Wattenhofer, Scott P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Aug 6th, 2014 - about 12 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 1215911813 NPPES
Iowa MEDICAID 1215911813
Iowa MEDICAID 10026135000
Iowa MEDICAID 10026135100
Iowa MEDICAID 10025724800

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