Stagg, Earl Ray

Stagg, Earl Ray is an individual health care provider with primary practice located at 2800 1St Ave Suite C, Lake Charles LA 70601-8884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stagg, Earl Ray can be contacted via phone (337) 491-9880.

Contact Information

Primary practice address
2800 1St Ave Suite C Lake Charles LA 70601-8884
Phone: (337) 491-9880
Fax: (337) 433-3268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD010857 Louisiana

Profile Details

NPI number 1508866963
LBN Legal business name Stagg, Earl Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 14th, 2016 - about 9 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 1508866963 NPPES
Louisiana Other 55502CE16 MEDICARE ID
Louisiana MEDICAID 1133663 MEDICARE ID

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