Travis, Dane Scott

Travis, Dane Scott is an individual health care provider with primary practice located at 5343 Tallman Ave Nw Suite 202, Seattle WA 98107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Travis, Dane Scott can be contacted via phone (206) 547-0330.

Contact Information

Primary practice address
5343 Tallman Ave Nw Suite 202 Seattle WA 98107
Phone: (206) 547-0330
Fax: (206) 789-0140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00033916 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD9651 Hawaii

Profile Details

NPI number 1487628202
LBN Legal business name Travis, Dane Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Oct 18th, 2010 - about 15 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 1487628202 NPPES
Washington MEDICAID 1121086
Washington Other 133038

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