Scroggs, Matthew Gary
Scroggs, Matthew Gary is an individual health care provider with primary practice located at 1890 W Gauthier Rd Ste 140 , Lake Charles LA 70605-7179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Scroggs, Matthew Gary can be contacted via phone (337) 480-5570.Contact Information
Primary practice address
1890 W Gauthier Rd Ste 140
Lake Charles LA 70605-7179
Phone: (337) 480-5570
Fax: (337) 480-5581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 14504R | Louisiana |
Profile Details
| NPI number | 1346249638 |
|---|---|
| LBN Legal business name | Scroggs, Matthew Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Apr 28th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346249638 | NPPES |
| Louisiana | MEDICAID | 1122530 | |
| Louisiana | Other | MD.14504R |
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