Scott J Fillmore in Fargo - Rehabilitation Practitioner

Scott J Fillmore - NPI 1336146703

Scott J Fillmore is a Rehabilitation Practitioner in Fargo, North Dakota. Scott J Fillmore practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Scott J Fillmore is 1336146703. The last update date is 2012-01-18.

Scott J Fillmore's current location address is 801 Broadway N, Fargo, North Dakota. You can contact this provider via phone number 7012342203 and fax number 7012342899. The mailing address for Scott J Fillmore is 801 Broadway N, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott J Fillmore
Address 801 Broadway N, Fargo, North Dakota
Phone Number 7012342203
Fax Number 7012342899
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1336146703
Provider Enumeration Date 2005-06-30
Last Updated Date 2012-01-18

Provider Mailing Address Detail

Address 801 Broadway N
City Fargo
State North Dakota (ND)
Post Code 581023641
Phone Number 7012342203
Fax Number 7012342899

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Licence No H9633
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
979392 TX FOCUS
208100000X TX PMR, SPECIALTY CODE
377226600 TX W/C
760420564 TX TAX ID
00H04C TX BC/BS OF TEXAS
123880501 TX METHODIST CARE
541659 TX USA MANAGED CARE ORG
33687701 TX --
54349 TX HMO BLUE STAR PLUS
6800563003 TX CIGNA

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FAQs about Scott J Fillmore

What is the unique 10-digit identification code assigned to Scott J Fillmore by the Centers for Medicare & Medicaid Services?

The Scott J Fillmore has been issued the NPI (National Provider Identifier) 1336146703, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Scott J Fillmore's physical address?

The Scott J Fillmore is physically located at 801 Broadway N, in the city of Fargo, ND, with the postal code 581023641.

What is Scott J Fillmore's specialized field of practice, and what is the corresponding taxonomy classification code?

The Scott J Fillmore's area of specialization is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 225400000X.

On what date did Scott J Fillmore receive its 1336146703 assignment from the Centers for Medicare & Medicaid Services?

The Scott J Fillmore was assigned its 1336146703 on 2005-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Scott J Fillmore's details last updated?

The information pertaining to the Scott J Fillmore, including its address, specialty, and other details, was most recently updated on 2012-01-18.

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