Seal, Gregory Scott

Seal, Gregory Scott is an individual health care provider with primary practice located at 3341 Youree Dr , Shreveport LA 71105-2149. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Seal, Gregory Scott can be contacted via phone (318) 219-4167.

Contact Information

Primary practice address
3341 Youree Dr Shreveport LA 71105-2149
Phone: (318) 219-4167
Fax: (318) 219-4834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021174 Louisiana

Profile Details

NPI number 1811947153
LBN Legal business name Seal, Gregory Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 19th, 2016 - about 10 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 1811947153 NPPES
Louisiana MEDICAID 1465682

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