Patton, Charles Scott

Patton, Charles Scott is an individual health care provider with primary practice located at 8383 Millicent Way , Shreveport LA 71115-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Patton, Charles Scott can be contacted via phone (318) 797-6661.

Contact Information

Primary practice address
8383 Millicent Way Shreveport LA 71115-5207
Phone: (318) 797-6661
Fax: (318) 795-8512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15779R Louisiana

Profile Details

NPI number 1063489888
LBN Legal business name Patton, Charles Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated May 8th, 2024 - about 7 months 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 1063489888 NPPES
Louisiana MEDICAID 1529389
Louisiana Other 7273768
Louisiana Other 15779R
Louisiana Other P00351985
Louisiana Other 6498752001Q

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