Petrie, Scott George

Petrie, Scott George is an individual health care provider with primary practice located at 1014 W Saint Clare Blvd Suite 1020, Gonzales LA 70737-5023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Petrie, Scott George can be contacted via phone (225) 743-2000.

Contact Information

Primary practice address
1014 W Saint Clare Blvd Suite 1020 Gonzales LA 70737-5023
Fax: (225) 743-2010
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 110099R Louisiana

Profile Details

NPI number 1700802733
LBN Legal business name Petrie, Scott George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 15th, 2011 - about 14 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 1700802733 NPPES
Louisiana MEDICAID 1665312

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