Peckenpaugh, Scott

Peckenpaugh, Scott is an individual health care provider with primary practice located at 2200 Nw Myhre Rd , Silverdale WA 98383-7681. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Peckenpaugh, Scott can be contacted via phone (360) 744-4989.

Contact Information

Primary practice address
2200 Nw Myhre Rd Silverdale WA 98383-7681
Phone: (360) 744-4989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA61130139 Washington

Profile Details

NPI number 1457900888
LBN Legal business name Peckenpaugh, Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated Sep 9th, 2021 - about 4 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 1457900888 NPPES
Washington MEDICAID 2177392

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