Seal, Gregory Scott
Seal, Gregory Scott is an individual health care provider with primary practice located at 3341 Youree Dr , Shreveport LA 71105-2149. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Seal, Gregory Scott can be contacted via phone (318) 219-4167.Contact Information
Primary practice address
3341 Youree Dr
Shreveport LA 71105-2149
Phone: (318) 219-4167
Fax: (318) 219-4834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 021174 | Louisiana |
Profile Details
| NPI number | 1811947153 |
|---|---|
| LBN Legal business name | Seal, Gregory Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 19th, 2016 - about 8 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 | 1811947153 | NPPES |
| Louisiana | MEDICAID | 1465682 |
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