Scoggin, Stephen Donald

Scoggin, Stephen Donald is an individual health care provider with primary practice located at 125 S Park Dr Ste A , Brownwood TX 76801-5952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Scoggin, Stephen Donald can be contacted via phone (325) 646-0400.

Contact Information

Primary practice address
125 S Park Dr Ste A Brownwood TX 76801-5952
Fax: (325) 643-1401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H4685 Texas

Profile Details

NPI number 1043201247
LBN Legal business name Scoggin, Stephen Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 29th, 2021 - about 5 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 1043201247 NPPES
Texas MEDICAID 122261407

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