Green, David Steven
Green, David Steven is an sole proprietor health care provider with primary practice located at 7829 Youree Dr , Shreveport LA 71105-5505. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Green, David Steven can be contacted via phone (318) 797-8777.Contact Information
Primary practice address
7829 Youree Dr
Shreveport LA 71105-5505
Phone: (318) 797-8777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 023098 | Louisiana |
Profile Details
| NPI number | 1902874704 |
|---|---|
| LBN Legal business name | Green, David Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 13th, 2012 - about 12 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 | 1902874704 | NPPES |
| Louisiana | MEDICAID | 1494429 |
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