| Scott Selco Professional Corporation | |
|
10001 S Eastern Ave Suite 409 Henderson NV 89052-3907 | |
| (702) 616-5617 | |
| (602) 798-9949 |
| Full Name | Scott Selco Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10001 S Eastern Ave, Henderson, Nevada |
| Authorized Official Name and Position | Scott L. Selco (ONWER/PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 7026165617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Selco Professional Corporation 10001 S Eastern Ave Suite 409 Henderson NV 89052-3907 Ph: (800) 975-2168 | Scott Selco Professional Corporation 10001 S Eastern Ave Suite 409 Henderson NV 89052-3907 Ph: (702) 616-5617 |
| NPI Number | 1134437114 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/28/2017 |
| Medicare PECOS PAC ID | 1951593342 |
|---|---|
| Medicare Enrollment ID | O20101006000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134437114 | NPI | - | NPPES |
| 1881663763 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | 11189 (Nevada) | Primary |
| Provider Name | Scott L Selco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881663763 PECOS PAC ID: 5496705428 Enrollment ID: I20050127000669 |
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