Scully, James Michael

Scully, James Michael is an sole proprietor health care provider with primary practice located at 216 W 10Th Ave Suite 202, Kennewick WA 99336-6300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Scully, James Michael can be contacted via phone (509) 585-5954.

Contact Information

Primary practice address
216 W 10Th Ave Suite 202 Kennewick WA 99336-6300
Fax: (509) 586-5869
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00033435 Washington

Profile Details

NPI number 1790738235
LBN Legal business name Scully, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jul 12th, 2010 - about 16 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 1790738235 NPPES
Washington MEDICAID 1096668

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