Scroggs, Matthew Gary

Scroggs, Matthew Gary is an individual health care provider with primary practice located at 1890 W Gauthier Rd Ste 140 , Lake Charles LA 70605-7179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Scroggs, Matthew Gary can be contacted via phone (337) 480-5570.

Contact Information

Primary practice address
1890 W Gauthier Rd Ste 140 Lake Charles LA 70605-7179
Phone: (337) 480-5570
Fax: (337) 480-5581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 14504R Louisiana

Profile Details

NPI number 1346249638
LBN Legal business name Scroggs, Matthew Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Apr 28th, 2022 - about 2 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 1346249638 NPPES
Louisiana MEDICAID 1122530
Louisiana Other MD.14504R

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