Newbold, Scott G

Newbold, Scott G is an individual health care provider with primary practice located at 55 W Tietan St , Walla Walla WA 99362-4445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Newbold, Scott G can be contacted via phone (509) 525-3720.

Contact Information

Primary practice address
55 W Tietan St Walla Walla WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00028915 Washington

Profile Details

NPI number 1336144989
LBN Legal business name Newbold, Scott G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 7th, 2014 - about 12 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 1336144989 NPPES
Washington Other 0276125 WA L & I AND CRIME VICTIMS
Washington MEDICAID 1068378 WA L & I AND CRIME VICTIMS

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