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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1205814266 NPPES
Washington MEDICAID 7102437
Washington Other 0142413

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