Willett, Scott Russell

Willett, Scott Russell is an individual health care provider with primary practice located at 107 Cranes Roost Ct , Elizabethtown KY 42701-3650. He recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as his primary health care specialty. Willett, Scott Russell can be contacted via phone (270) 765-2605.

Contact Information

Primary practice address
107 Cranes Roost Ct Elizabethtown KY 42701-3650
Phone: (270) 765-2605
Fax: (270) 234-8572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1457496135
LBN Legal business name Willett, Scott Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 19 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 1457496135 NPPES
Kentucky MEDICAID 30605018

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