Nyboer, Scott D

Nyboer, Scott D is an individual health care provider with primary practice located at 10101 Park Rowe Ave Suite 200, Baton Rouge LA 70810-1686. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Nyboer, Scott D can be contacted via phone (225) 769-2200.

Contact Information

Primary practice address
10101 Park Rowe Ave Suite 200 Baton Rouge LA 70810-1686
Phone: (225) 769-2200
Fax: (225) 768-2185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 09701R Louisiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 09701R Louisiana

Profile Details

NPI number 1124017298
LBN Legal business name Nyboer, Scott D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Apr 1st, 2014 - about 12 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 1124017298 NPPES
Louisiana MEDICAID 1968111

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