Hereford, Scott

Hereford, Scott is an individual health care provider with primary practice located at 707 N Pearl St Ste E , Ellensburg WA 98926-2938. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hereford, Scott can be contacted via phone (509) 925-7507.

Contact Information

Primary practice address
707 N Pearl St Ste E Ellensburg WA 98926-2938
Phone: (509) 925-7507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00011187 Washington

Profile Details

NPI number 1497805667
LBN Legal business name Hereford, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Dec 5th, 2023 - about last year

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 1497805667 NPPES
Washington MEDICAID 8529661

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