Ely, Scott Michael

Ely, Scott Michael is an individual health care provider with primary practice located at 1500 Continental Pl , Mount Vernon WA 98273-4105. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Ely, Scott Michael can be contacted via phone (360) 424-7041.

Contact Information

Primary practice address
1500 Continental Pl Mount Vernon WA 98273-4105
Phone: (360) 424-7041
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60198949 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60198949 Washington

Profile Details

NPI number 1437448958
LBN Legal business name Ely, Scott Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Oct 20th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437448958 NPPES
Washington MEDICAID 2012072

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