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
Phone: (903) 553-0480
Fax: (903) 553-0481
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780889089 | NPPES |
Texas | Other | 6708 | LICENSE |
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