Leris, Dennis George
Leris, Dennis George is an individual health care provider with primary practice located at 190 Kimel Park Dr Ste 140 , Winston Salem NC 27103-6946. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Leris, Dennis George can be contacted via phone (336) 277-2225.Contact Information
Primary practice address
190 Kimel Park Dr Ste 140
Winston Salem NC 27103-6946
Phone: (336) 277-2225
Fax: (336) 277-2231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 000103530 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103530 | North Carolina |
Profile Details
| NPI number | 1629074323 |
|---|---|
| LBN Legal business name | Leris, Dennis George |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jan 6th, 2020 - about 4 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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