Doctor Name: | MR. SCOTT D NOVASCONE |
NPI Number: | 1427297001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN,RRT |
License Number: | 2338-28 |
Business Practice Address: | 407 Brotherton St Wakefield, MI - 499681326 |
Business Phone Number: | 9062241337 |
Business Fax Number: | |
Mailing Address: | 407 Brotherton St, WAKEFIELD |
State: | MI |
Postal Code: | 499681326 |
Phone Number: | 9062241337 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2009 |
NPI Last Update Date: | 02/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2338-28 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |