Individual
SCOTT J TIBBITS
Active
Individual
SCOTT J TIBBITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00030644
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149441
LABOR & INDUSTRIES
WA
01
—
110221313
RAILROAD MEDICARE
WA
01
—
3911TI
COUNTY
WA
01
—
539787389
CIGNA HEALTH INSURANCE
WA
05
—
8148694
—
WA
Enumeration date
12/13/2006
Last updated
11/03/2016
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