Legg, George Wayne

Legg, George Wayne is an sole proprietor health care provider with primary practice located at 615 N 3Rd St Ste 4 , Longview TX 75601-6550. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Legg, George Wayne can be contacted via phone (903) 553-0480.

Contact Information

Primary practice address
615 N 3Rd St Ste 4 Longview TX 75601-6550
Fax: (903) 553-0481
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6708 Texas

Profile Details

NPI number 1780889089
LBN Legal business name Legg, George Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
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 1780889089 NPPES
Texas Other 6708 LICENSE

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