Provider Demographics
NPI:1497100325
Name:SCALES, ROBERT WILHELM (LICENSED PRACTICAL N)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:WILHELM
Last Name:SCALES
Suffix:
Gender:M
Credentials:LICENSED PRACTICAL N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 3RD STREET
Mailing Address - Street 2:APT. 506
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062
Mailing Address - Country:US
Mailing Address - Phone:724-493-4647
Mailing Address - Fax:
Practice Address - Street 1:331 3RD STREET
Practice Address - Street 2:APT. 506
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062
Practice Address - Country:US
Practice Address - Phone:724-493-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN254626L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse