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Contact Information

ANGELIQUE SCOTT, AA
11100 EUCLID AVE
CLEVELAND, OH44106-1716
 Phone: 216-844-7337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANGELIQUE SCOTT · (Female)

NPI Number 1063592632
Status Active
Credentials AA
Entity Individual
Enumeration date 10/17/2006
Last updated 05/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 1410
  • OH License # 67.000125
  • OH Medicaid 2777651
  • OH Other 7890925 AETNA
  • OH Other 000000515975 ANTHEM
  • OH Other 0583328 BCMH
  • OH Other 1978 BIRTH YEAR
  • OH Other 000000232325 UNISON
  • OH Other 417995 WELLCARE MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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