Willoughby, Scott Donald

Willoughby, Scott Donald is an individual health care provider with primary practice located at 4740 N. Penngrove Way Ste. 100, Meridian ID 83646. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Willoughby, Scott Donald can be contacted via phone (208) 938-3663.

Contact Information

Primary practice address
4740 N. Penngrove Way Ste. 100 Meridian ID 83646
Phone: (208) 938-3663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 54825 Idaho

Profile Details

NPI number 1457897852
LBN Legal business name Willoughby, Scott Donald
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2017
Last updated Jan 20th, 2020 - about 6 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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