Elliott, Scott Russell
Elliott, Scott Russell is an sole proprietor health care provider with primary practice located at 111 E Main St.Reet , Everson WA 98247. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Elliott, Scott Russell can be contacted via phone (360) 966-2700.Contact Information
Primary practice address
111 E Main St.Reet
Everson WA 98247
Phone: (360) 966-2700
Fax: (360) 966-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00002047 | Washington |
Profile Details
| NPI number | 1952442881 |
|---|---|
| LBN Legal business name | Elliott, Scott Russell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952442881 | NPPES |
| Washington | Other | 0195 | DEPT OF LABOR & INDUSRIES |
| Washington | MEDICAID | 2002442 | DEPT OF LABOR & INDUSRIES |
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