Liles, William B
Liles, William B is an sole proprietor health care provider with primary practice located at 312 Grammont Street Suite 303, Monroe LA 71201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Liles, William B can be contacted via phone (318) 398-2984.Contact Information
Primary practice address
312 Grammont Street Suite 303
Monroe LA 71201
Phone: (318) 398-2984
Fax: (318) 398-2413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 202468 | Louisiana |
Profile Details
| NPI number | 1710197033 |
|---|---|
| LBN Legal business name | Liles, William B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Mar 24th, 2022 - about 2 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 | 1710197033 | NPPES |
| Louisiana | MEDICAID | 1079294 |
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