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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1467526178 NPPES
Louisiana MEDICAID 1182621

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