Scott William Eathorne in Farmington Hills - Sports Medicine
Scott William Eathorne - NPI 1760480974
Scott William Eathorne is a Sports Medicine in Farmington Hills, Michigan. Scott William Eathorne practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Scott William Eathorne is 1760480974. The last update date is 2018-01-25.
Scott William Eathorne's current location address is 30055 Northwestern Hwy, Farmington Hills, Michigan. You can contact this provider via phone number 2488654030 and fax number 2484267335. The mailing address for Scott William Eathorne is 30055 Northwestern Hwy, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott William Eathorne |
|---|---|
| Address | 30055 Northwestern Hwy, Farmington Hills, Michigan |
| Phone Number | 2488654030 |
| Fax Number | 2484267335 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760480974 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2018-01-25 |
Provider Mailing Address Detail
| Address | 30055 Northwestern Hwy |
|---|---|
| City | Farmington Hills |
| State | Michigan (MI) |
| Post Code | 4833432300 |
| Phone Number | 2488654030 |
| Fax Number | 2484267335 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 4301055302 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 297537810 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Scott William Eathorne by the Centers for Medicare & Medicaid Services?
The Scott William Eathorne has been assigned the NPI (National Provider Identifier) 1760480974. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Scott William Eathorne's facilities are situated?
The facilities of Scott William Eathorne are physically located at the following address: 30055 Northwestern Hwy, Farmington Hills, MI, 4833432300.
What is the area of specialization for Scott William Eathorne, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Scott William Eathorne is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
When was the Scott William Eathorne's 1760480974 issued?
The Scott William Eathorne's 1760480974 was issued on 2005-07-12.
As of what date was the information regarding Scott William Eathorne, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Scott William Eathorne, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-01-25.