Woodburn, Scott Edward

Woodburn, Scott Edward is an individual health care provider with primary practice located at 6569 North Charles Street Suite 702, Baltimore MD 21204. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Woodburn, Scott Edward can be contacted via phone (410) 828-5420.

Contact Information

Primary practice address
6569 North Charles Street Suite 702 Baltimore MD 21204
Phone: (410) 828-5420
Fax: (410) 821-5833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01023 Maryland

Profile Details

NPI number 1366528911
LBN Legal business name Woodburn, Scott Edward
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 24th, 2023 - about 3 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 1366528911 NPPES
Maryland Other H792 BLUE CROSS
Maryland Other E602 BLUE CROSS
Maryland MEDICAID 288268000 BLUE CROSS

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