National Provider Identifier Database

SCOTT C FRIEDERSDORF, DPM – NPI #1508845298
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

SCOTT C FRIEDERSDORF, DPM
100 MEDICAL DR
HANNIBAL, MO63401-6877
Phone: 573-231-3773
Fax: 573-231-3828
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for SCOTT C FRIEDERSDORF

NPI Number 1508845298
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/11/2006
Last updated 03/03/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2003009611
  • MO Medicaid: 308463702
Hospital affiliation n/a

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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