Provider Demographics
NPI: | 1073649737 |
---|---|
Name: | SCOTT APPELL MD PC |
Entity type: | Organization |
Organization Name: | SCOTT APPELL MD PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MIKE |
Authorized Official - Middle Name: | T |
Authorized Official - Last Name: | BICE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 256-378-3313 |
Mailing Address - Street 1: | 34401 HWY 280 |
Mailing Address - Street 2: | P O BOX 349 |
Mailing Address - City: | CHILDERSBURG |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 35044 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 256-378-3313 |
Mailing Address - Fax: | 256-378-3315 |
Practice Address - Street 1: | 34401 HWY 280 |
Practice Address - Street 2: | |
Practice Address - City: | CHILDERSBURG |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35044 |
Practice Address - Country: | US |
Practice Address - Phone: | 256-378-3313 |
Practice Address - Fax: | 256-378-3315 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-26 |
Last Update Date: | 2007-08-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AL | 00013579 | 207X00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Single Specialty |