Liles, Douglas Nelson
Liles, Douglas Nelson is an individual health care provider with primary practice located at 1501 Louisville Ave , Monroe LA 71201-6025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Liles, Douglas Nelson can be contacted via phone (318) 323-8451.Contact Information
Primary practice address
1501 Louisville Ave
Monroe LA 71201-6025
Phone: (318) 323-8451
Fax: (318) 361-2613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD.015578 | Louisiana |
Profile Details
| NPI number | 1659357218 |
|---|---|
| LBN Legal business name | Liles, Douglas Nelson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Feb 16th, 2010 - about 14 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 | 1659357218 | NPPES |
| Louisiana | MEDICAID | 1359548 |
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