Dennie, Raymond Edward
Dennie, Raymond Edward is an sole proprietor health care provider with primary practice located at 2724 Greenwood Rd , Shreveport LA 71109-4635. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Durable Medical Equipment & Medical Supplies. Other Service Providers / Specialist is his primary health care specialty. Dennie, Raymond Edward can be contacted via phone (318) 212-4248.Contact Information
Primary practice address
2724 Greenwood Rd
Shreveport LA 71109-4635
Phone: (318) 212-4248
Fax: (318) 212-4545
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 4185R | Louisiana |
Suppliers / Non-Pharmacy Dispensing Site | 332900000X | AD8213326 DEA | Louisiana |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | MD04185R | Louisiana |
Profile Details
NPI number | 1467526178 |
---|---|
LBN Legal business name | Dennie, Raymond Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2006 |
Last updated | Aug 6th, 2008 - about 16 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 | 1467526178 | NPPES |
Louisiana | MEDICAID | 1182621 |
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