DR. Scott Alan Blickensderfer D.O.

  • 1578568572 NPI Number
  • |
  • Actived: 14 years ago
  • |
According to our database, NPI number for DR. Scott Alan Blickensderfer D.O. is 1578568572 and actived since Thursday, June 16 2005. DR. Scott Alan Blickensderfer D.O. is an individual provider specializes in Urology, primary practice location is 6301 University Commons, South Bend, IN 46635. You can also contact DR. Scott Alan Blickensderfer D.O. via telephone number is (574) 234-4100. Provider NPI information was last updated on 03/06/2014.

Recently Active NPIs

Overview of DR. Scott Alan Blickensderfer D.O.

  • NPI number: 1043855448
  • Provider type: Individual
  • Specialty: Urology
  • Gender: Male
  • Active since: 06/16/2005
  • Last updated: 03/06/2014

Primary Scrop of Practice

  • Taxonomy Code: 208800000X
  • Specialty: Urology
  • License Number: 02001398A
  • License State: IN

Provider Mailing Address

  • Address: 6301 University Commons
    Ste 230
    South Bend, IN 46635
  • Phone: 574-251-2100
  • Fax: 574-251-2151

Provider Practice Location

  • Address: 6301 University Commons
    Ste 350
    South Bend, IN 46635
  • Phone: 574-234-4100
  • Fax: 574-282-1739

Scope of Practice

  • Taxonomy Code: 208800000X
  • Specialty: Urology
  • License Number: 02001398A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 264180V
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: MEDICARE PTAN

Question & Answers

What is the npi number?

  • Q: What is the npi number for DR. Scott Alan Blickensderfer D.O.?
  • A: The npi number for DR. Scott Alan Blickensderfer D.O. is 1578568572.
  • Q: What are DR. Scott Alan Blickensderfer D.O.'s specialties?
  • A: DR. Scott Alan Blickensderfer D.O.'s specialties are Urology and different specialities.
  • Q: What is the medical license for DR. Scott Alan Blickensderfer D.O.?
  • A: The medical license number for DR. Scott Alan Blickensderfer D.O. is 02001398A and issued in IN in USA.
  • Q: Where is DR. Scott Alan Blickensderfer D.O. practice location?
  • A: DR. Scott Alan Blickensderfer D.O. is practicing at 6301 University Commons, South Bend, IN 46635.
  • Q: How to contact DR. Scott Alan Blickensderfer D.O.?
  • A: You can contact DR. Scott Alan Blickensderfer D.O. via 574-234-4100.