Green, Dallis. Louis

Green, Dallis. Louis is an individual health care provider with primary practice located at 1531 Olde Mill Creek Dr , Suffolk VA 23434-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Green, Dallis. Louis can be contacted via phone (504) 858-6857.

Contact Information

Primary practice address
1531 Olde Mill Creek Dr Suffolk VA 23434-2320
Phone: (504) 858-6857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N/A Virginia

Profile Details

NPI number 1386806479
LBN Legal business name Green, Dallis. Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Apr 7th, 2022 - about 3 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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