Scott E Sowell, ATC
Specialist/Technologist, Athletic Trainer in Victorville, CA. Individual provider (NPI-1).
NPI number1336225614
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1336225614
- Entity type
- Individual (NPI-1)
- Name
- Mr. Scott E Sowell
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
14048 Cobalt RdVictorville, CA 92392-9316
Phone 760-955-3353 · Fax 760-955-3473
Mailing address
39600 Joline AvePalmdale, CA 93551-2983
Phone 661-947-3736
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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