Scudder, Gary E
Scudder, Gary E is an sole proprietor health care provider with primary practice located at 4932 Kirby Rd , Lawrenceburg IN 47025-8227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Scudder, Gary E can be contacted via phone (812) 584-4563.Contact Information
Primary practice address
4932 Kirby Rd
Lawrenceburg IN 47025-8227
Phone: (812) 584-4563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01021383 | Indiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01021383A | Indiana |
Profile Details
| NPI number | 1619948015 |
|---|---|
| LBN Legal business name | Scudder, Gary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Oct 2nd, 2020 - about 5 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 | 1619948015 | NPPES |
| Indiana | MEDICAID | 100093380B |
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