Stagg, Earl Ray
Stagg, Earl Ray is an individual health care provider with primary practice located at 2800 1St Ave Suite C, Lake Charles LA 70601-8884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stagg, Earl Ray can be contacted via phone (337) 491-9880.Contact Information
Primary practice address
2800 1St Ave Suite C
Lake Charles LA 70601-8884
Phone: (337) 491-9880
Fax: (337) 433-3268
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD010857 | Louisiana |
Profile Details
NPI number | 1508866963 |
---|---|
LBN Legal business name | Stagg, Earl Ray |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2005 |
Last updated | Nov 14th, 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 | 1508866963 | NPPES |
Louisiana | Other | 55502CE16 | MEDICARE ID |
Louisiana | MEDICAID | 1133663 | MEDICARE ID |
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