Ensign, Scott O
Ensign, Scott O is an individual health care provider with primary practice located at 5205 Corporate Center Ct Se Suite C, Lacey WA 98503-5901. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ensign, Scott O can be contacted via phone (360) 412-1367.Contact Information
Primary practice address
5205 Corporate Center Ct Se Suite C
Lacey WA 98503-5901
Phone: (360) 412-1367
Fax: (360) 412-1391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00006701 | Washington |
Profile Details
| NPI number | 1205814266 |
|---|---|
| LBN Legal business name | Ensign, Scott O |
| Credentials | MPT JSCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | May 19th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205814266 | NPPES |
| Washington | MEDICAID | 7102437 | |
| Washington | Other | 0142413 |
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