Athair, Scot Bacon

Athair, Scot Bacon is an sole proprietor health care provider with primary practice located at 1111 E Front St , Port Angeles WA 98362-4307. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Athair, Scot Bacon can be contacted via phone (360) 452-3017.

Contact Information

Primary practice address
1111 E Front St Port Angeles WA 98362-4307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00004385 Washington

Profile Details

NPI number 1710160544
LBN Legal business name Athair, Scot Bacon
Credentials LPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2007
Last updated Dec 15th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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