Individual
HENRIQUE E. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 W GLEN PARK AVE, GRIFFITH, IN 46319-2087
(219) 924-3379
(219) 924-3788
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-9024
(219) 836-0034
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01054305A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200327420
—
IN
Enumeration date
11/18/2005
Last updated
02/20/2014
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