Scoresby, Devin P
Scoresby, Devin P is an individual health care provider with primary practice located at 2677 E 17Th St Ste 500 , Ammon ID 83406-6613. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Scoresby, Devin P can be contacted via phone (208) 881-0686.Contact Information
Primary practice address
2677 E 17Th St Ste 500
Ammon ID 83406-6613
Phone: (208) 881-0686
Fax: (208) 538-0034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1312 | Idaho |
Profile Details
| NPI number | 1649418500 |
|---|---|
| LBN Legal business name | Scoresby, Devin P |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2009 |
| Last updated | Jun 6th, 2021 - about 5 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 | 1649418500 | NPPES |
| Idaho | MEDICAID | 1649418500 |
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