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
Phone: (504) 836-9820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255389888 | NPPES |
| Louisiana | MEDICAID | 1323047 |
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