Scroggins, Stacy Lynn
Scroggins, Stacy Lynn is an sole proprietor health care provider with primary practice located at 101 E. Oklahoma , Mcalester OK 74501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Scroggins, Stacy Lynn can be contacted via phone (918) 423-4900.Contact Information
Primary practice address
101 E. Oklahoma
Mcalester OK 74501
Phone: (918) 423-4900
Fax: (918) 423-4905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1066 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1066 | Oklahoma |
Profile Details
| NPI number | 1851354427 |
|---|---|
| LBN Legal business name | Scroggins, Stacy Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Apr 28th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851354427 | NPPES |
| Oklahoma | MEDICAID | 100228530A | |
| Oklahoma | Other | 100739490N |
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