Scoggins, Charles R

Scoggins, Charles R is an individual health care provider with primary practice located at 401 E Chestnut St Suite 710, Louisville KY 40202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Scoggins, Charles R can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
401 E Chestnut St Suite 710 Louisville KY 40202
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38734 Kentucky
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 38734 Kentucky

Profile Details

NPI number 1831179860
LBN Legal business name Scoggins, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 27th, 2018 - about 6 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 1831179860 NPPES
Kentucky MEDICAID 64081078
Kentucky MEDICAID 200489960
Kentucky Other 50005061

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