Wissman, Scott D.

Wissman, Scott D. is an individual health care provider with primary practice located at 9601 Blackwell Rd Ste 300 , Rockville MD 20850-3472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wissman, Scott D. can be contacted via phone (301) 563-9333.

Contact Information

Primary practice address
9601 Blackwell Rd Ste 300 Rockville MD 20850-3472
Phone: (301) 563-9333
Fax: (240) 800-1950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D59935 Maryland

Profile Details

NPI number 1326013087
LBN Legal business name Wissman, Scott D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1326013087 NPPES
Maryland MEDICAID 213221400

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