Provider Demographics
NPI:1497914030
Name:ESBIT, SCOTT (HIS)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:ESBIT
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 FERNBROOK LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-5336
Mailing Address - Country:US
Mailing Address - Phone:763-515-8222
Mailing Address - Fax:763-559-1424
Practice Address - Street 1:12470 N RANCHO VISTOSO BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755
Practice Address - Country:US
Practice Address - Phone:520-407-6623
Practice Address - Fax:520-407-6277
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4758237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist