Provider Demographics
NPI:1396019030
Name:SCHOLL, ERNEST EMMETT
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:EMMETT
Last Name:SCHOLL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40903 236TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-8606
Mailing Address - Country:US
Mailing Address - Phone:360-825-6525
Mailing Address - Fax:
Practice Address - Street 1:40903 236TH AVE SE
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-8606
Practice Address - Country:US
Practice Address - Phone:360-825-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00037970164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse