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
Fax: (318) 398-2413
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710197033 NPPES
Louisiana MEDICAID 1079294

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