Organization
HENRIQUE SCOTT, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIQUE SCOTT M.D. (PRESIDENT)
(219) 836-9024
Entity
Organization
Contact information
Practice address
801 W GLEN PARK AVE, GRIFFITH, IN 46319-2087
(219) 934-3379
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200886900A
—
IN
Enumeration date
08/08/2006
Last updated
09/13/2012
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