Scotvold, Marvin

Scotvold, Marvin is an individual health care provider with primary practice located at 602 E Nob Hill Blvd , Yakima WA 98901-3534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Scotvold, Marvin can be contacted via phone (509) 248-3334.

Contact Information

Primary practice address
602 E Nob Hill Blvd Yakima WA 98901-3534
Phone: (509) 248-3334
Fax: (509) 453-6144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00009476 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00009476 Washington

Profile Details

NPI number 1528154713
LBN Legal business name Scotvold, Marvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 23rd, 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 1528154713 NPPES
Other 4963 GROUP HEALTH
Other 8372302 GROUP HEALTH
Other 44501 GROUP HEALTH
Other 9390SC GROUP HEALTH
MEDICAID 8372302 GROUP HEALTH
Other 911019392 GROUP HEALTH

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