Gage, Scott W

Gage, Scott W is an individual health care provider with primary practice located at 2000 E Layton Ave , St Francis WI 53235-6053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gage, Scott W can be contacted via phone (414) 744-6589.

Contact Information

Primary practice address
2000 E Layton Ave St Francis WI 53235-6053
Phone: (414) 744-6589
Fax: (414) 747-8848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 33257 Wisconsin

Profile Details

NPI number 1326076258
LBN Legal business name Gage, Scott W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Sep 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326076258 NPPES
Wisconsin MEDICAID 31811000
Wisconsin Other P00225525
Wisconsin MEDICAID 104716769

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