Carbajal, Scott A

Carbajal, Scott A is an individual health care provider with primary practice located at 1800 Ryan St Suite 105, Lake Charles LA 70601-6078. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Carbajal, Scott A can be contacted via phone (337) 439-4706.

Contact Information

Primary practice address
1800 Ryan St Suite 105 Lake Charles LA 70601-6078
Fax: (337) 439-8110
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 023592 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD.023592 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19262 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27613 South Carolina

Profile Details

NPI number 1841298262
LBN Legal business name Carbajal, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Aug 14th, 2015 - 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 1841298262 NPPES
Louisiana MEDICAID 1483451

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