Scott, Robert L

Scott, Robert L is an sole proprietor health care provider with primary practice located at 814 S Peabody St , Port Angeles WA 98362-7906. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Scott, Robert L can be contacted via phone (360) 457-4761.

Contact Information

Primary practice address
814 S Peabody St Port Angeles WA 98362-7906
Fax: (360) 457-1744
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00023380 Washington

Profile Details

NPI number 1891887857
LBN Legal business name Scott, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1891887857 NPPES
Washington MEDICAID 1019447

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