Susan Jane Scott is a Clinical in Bemidji, Minnesota. Susan Jane Scott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Jane Scott is 1770704165. The last update date is 2007-07-08.
Susan Jane Scott's current location address is 514 Beltrami Ave Nw, Bemidji, Minnesota. You can contact this provider via phone number 2184442845 and fax number 2184442847. The mailing address for Susan Jane Scott is 514 Beltrami Ave Nw, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jane Scott |
|---|---|
| Address | 514 Beltrami Ave Nw, Bemidji, Minnesota |
| Phone Number | 2184442845 |
| Fax Number | 2184442847 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1770704165 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 514 Beltrami Ave Nw |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566013010 |
| Phone Number | 2184442845 |
| Fax Number | 2184442847 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 820 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 163M7SC | MN | BLUE CROSS BLUE SHIELD MN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Jane Scott?
The Susan Jane Scott has been issued the NPI (National Provider Identifier) 1770704165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Susan Jane Scott?
The Susan Jane Scott is situated at 514 Beltrami Ave Nw, in the city of Bemidji, state of MN, with the zip code 566013010.
What is Susan Jane Scott's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Jane Scott is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770704165 to Susan Jane Scott?
The Centers for Medicare & Medicaid Services originally issued the 1770704165 to Susan Jane Scott on 2007-05-01.
As of what date was the information pertaining to Susan Jane Scott, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Jane Scott, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.