Jack C. Scott is a Specialist in Fridley, Minnesota. Jack C. Scott practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jack C. Scott is 1619913050. The last update date is 2007-07-08.
Jack C. Scott's current location address is 7205 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635714000 and fax number 7635717202. The mailing address for Jack C. Scott is 7205 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack C. Scott |
|---|---|
| Address | 7205 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635714000 |
| Fax Number | 7635717202 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619913050 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7205 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554323134 |
| Phone Number | 7635714000 |
| Fax Number | 7635717202 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 21065 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870787100 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jack C. Scott by the Centers for Medicare & Medicaid Services?
The Jack C. Scott has been issued the NPI (National Provider Identifier) 1619913050. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack C. Scott?
The Jack C. Scott is physically situated at 7205 University Ave Ne, in the city of Fridley, state of MN, with the postal code 554323134.
What is Jack C. Scott's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack C. Scott's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Jack C. Scott receive the assignment of its 1619913050 from the Centers for Medicare & Medicaid Services?
The Jack C. Scott was issued its 1619913050 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date was the information pertaining to Jack C. Scott, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack C. Scott, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.