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Contact Information

SCOTT E BORGHOLTHAUS, OD OPTOMETRIST
1867 1ST ST
CHENEY, WA99004-1967
 Phone: 509-452-3937
 Fax: 509-453-6567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SCOTT E BORGHOLTHAUS · (Male)

NPI Number 1942388236
Status Active
Credentials OD OPTOMETRIST
Entity Individual
Enumeration date 11/02/2006
Last updated 08/30/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 0736
  • OR License # 1812
  • WA License # 3218
  • WA Medicaid 2028124
  • Other P00271493 PALMETTO GBA RAILROAD MED
  • WA Other 815580 REGENCE BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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