Individual
SCOT ERIC WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4320 FIR ST UNIT 217, EAST CHICAGO, IN 46312
(219) 392-7025
Mailing address
85 HAWICK DR, VALPARAISO, IN 46385-9331
(219) 742-2761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28174234A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008166A
IN
Other
Enumeration date
03/28/2018
Last updated
09/04/2018
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