Basic Information
| Provider Information | |||||||||
| NPI: | 1497914030 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESBIT | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | HIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3131 FERNBROOK LANE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554475336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635158222 | ||||||||
| FaxNumber: | 7635591424 | ||||||||
| Practice Location | |||||||||
| Address1: | 12470 N RANCHO VISTOSO BLVD | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | ORO VALLEY | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5204076623 | ||||||||
| FaxNumber: | 5204076277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2008 | ||||||||
| LastUpdateDate: | 06/09/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 4758 | AZ | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.