Provost, Marty Scott

Provost, Marty Scott is an individual health care provider with primary practice located at 700 S J St , Lakeview OR 97630-1623. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Provost, Marty Scott can be contacted via phone (541) 947-6021.

Contact Information

Primary practice address
700 S J St Lakeview OR 97630-1623
Phone: (541) 947-6021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oregon

Profile Details

NPI number 1639891914
LBN Legal business name Provost, Marty Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2022
Last updated Sep 14th, 2022 - about 3 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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