Scoggin, Donald

Scoggin, Donald is an individual health care provider with primary practice located at 1203 Ave B , Ellisville MS 39437. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Scoggin, Donald can be contacted via phone (601) 477-8553.

Contact Information

Primary practice address
1203 Ave B Ellisville MS 39437
Phone: (601) 477-8553
Fax: (601) 477-9158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R732117 Mississippi

Profile Details

NPI number 1316980097
LBN Legal business name Scoggin, Donald
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 21st, 2023 - about last year

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 1316980097 NPPES
Mississippi MEDICAID 00114206

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