Individual
DR. SHANEY L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-5601
(231) 627-1846
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-1438
(231) 627-1471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301057706
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101600192
INDIVIDUAL BLUE CROSS
MI
01
—
010A660000
GROUP BLUE CROSS
MI
05
—
4866274
—
MI
Enumeration date
07/17/2006
Last updated
07/08/2007
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