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Individual

JOSEF HEYTVELT SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
131 NE ROY BOAD RD, SUITE A, BELFAIR, WA 98528-9601
(360) 275-4411
(360) 275-4412
Mailing address
PO BOX 625, BELFAIR, WA 98528-0625
(360) 275-4411
(360) 275-4412

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH34365
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0214853
DEPT. OF L&I
WA
01
CH34365
CHIROPRACTIC LICENSE
WA
Enumeration date
06/14/2006
Last updated
07/08/2007
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