Green, Dwight

Green, Dwight is an individual health care provider with primary practice located at 2005 Veterans Memorial Blvd , Metairie LA 70002-6320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Dwight can be contacted via phone (504) 836-9820.

Contact Information

Primary practice address
2005 Veterans Memorial Blvd Metairie LA 70002-6320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.015268 Louisiana

Profile Details

NPI number 1255389888
LBN Legal business name Green, Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255389888 NPPES
Louisiana MEDICAID 1323047

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