Green-Dileo, Evie Alice
Green-Dileo, Evie Alice is an sole proprietor health care provider with primary practice located at 1208 W Elm St , Orange TX 77630-5535. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Green-Dileo, Evie Alice can be contacted via phone (409) 883-3131.Contact Information
Primary practice address
1208 W Elm St
Orange TX 77630-5535
Phone: (409) 883-3131
Fax: (409) 883-6811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 16906 | Texas |
Profile Details
| NPI number | 1710069612 |
|---|---|
| LBN Legal business name | Green-Dileo, Evie Alice |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710069612 | NPPES |
| Texas | Other | 2001054 | BCBS |
| Texas | Other | 706854 | BCBS |
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