Maystrovich, Scott P
Maystrovich, Scott P is an individual health care provider with primary practice located at 5625 N Wall St , Spokane WA 99205-6435. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maystrovich, Scott P can be contacted via phone (509) 482-1982.Contact Information
Primary practice address
5625 N Wall St
Spokane WA 99205-6435
Phone: (509) 482-1982
Fax: (509) 482-1983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00034050 | Washington |
Profile Details
| NPI number | 1114910270 |
|---|---|
| LBN Legal business name | Maystrovich, Scott P |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114910270 | NPPES |
| Washington | Other | 000010147569 | REGENCE OF IDAHO |
| Washington | Other | P00021492 | REGENCE OF IDAHO |
| Washington | Other | 0157424 | REGENCE OF IDAHO |
| Washington | MEDICAID | 2026813 | REGENCE OF IDAHO |
| Washington | Other | 2433MA | REGENCE OF IDAHO |
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