Provider Demographics
NPI:1710219902
Name:WHITCOMB, SCOTT K (1ST LINE MEDICAL)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:K
Last Name:WHITCOMB
Suffix:
Gender:M
Credentials:1ST LINE MEDICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 US ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:HOLDERNESS
Mailing Address - State:NH
Mailing Address - Zip Code:03245-5641
Mailing Address - Country:US
Mailing Address - Phone:603-968-3172
Mailing Address - Fax:603-968-3158
Practice Address - Street 1:854 US ROUTE 3
Practice Address - Street 2:
Practice Address - City:HOLDERNESS
Practice Address - State:NH
Practice Address - Zip Code:03245-5641
Practice Address - Country:US
Practice Address - Phone:603-968-3172
Practice Address - Fax:603-968-3158
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other