Scott Alan Small is a Surgical in Berlin, Vermont. Scott Alan Small practices all healthcare services and medical treatments related to Surgical. The NPI Number for Scott Alan Small is 1174543888. The last update date is 2010-02-08.
Scott Alan Small's current location address is 130 Fisher Rd, Berlin, Vermont. You can contact this provider via phone number 8022292663 and fax number 8022296645. The mailing address for Scott Alan Small is 130 Fisher Rd, Berlin, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Alan Small |
|---|---|
| Address | 130 Fisher Rd, Berlin, Vermont |
| Phone Number | 8022292663 |
| Fax Number | 8022296645 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174543888 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2010-02-08 |
Provider Mailing Address Detail
| Address | 130 Fisher Rd |
|---|---|
| City | Berlin |
| State | Vermont (VT) |
| Post Code | 5602 |
| Phone Number | 8022292663 |
| Fax Number | 8022296645 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 055-0030654 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique identification code assigned to Scott Alan Small by the Centers for Medicare & Medicaid Services?
The Scott Alan Small has been issued the NPI (National Provider Identifier) 1174543888. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Scott Alan Small's physical address?
The Scott Alan Small is physically located at 130 Fisher Rd, in the city of Berlin, VT, with the postal code 5602.
What is the Scott Alan Small's specialty and taxonomy code?
The Scott Alan Small's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date was the 1174543888 assigned to Scott Alan Small?
The Scott Alan Small was issued its 1174543888 on 2006-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Scott Alan Small last refreshed?
The information related to the Scott Alan Small, including its address, specialty, and other relevant details, was last updated on 2010-02-08.