Scruggs, Michangelo Darren

Scruggs, Michangelo Darren is an sole proprietor health care provider with primary practice located at 1328 Southern Ave Se Suite 209, Washington DC 20032-4689. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Scruggs, Michangelo Darren can be contacted via phone (202) 506-1001.

Contact Information

Primary practice address
1328 Southern Ave Se Suite 209 Washington DC 20032-4689
Phone: (202) 506-1001
Fax: (202) 506-1008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1000031 District of Columbia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1000031 District of Columbia

Profile Details

NPI number 1104033703
LBN Legal business name Scruggs, Michangelo Darren
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated May 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104033703 NPPES
District of Columbia Other 947AMD- MD CAREFIRST BC/BS
District of Columbia Other J892 CAREFIRST BC/BS
District of Columbia MEDICAID 035237700 CAREFIRST BC/BS

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