Dennis, Laurence L
Dennis, Laurence L is an sole proprietor health care provider with primary practice located at 202 N 1St St Ste A, Booneville MS 38829-2718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dennis, Laurence L can be contacted via phone (662) 340-1138.Contact Information
Primary practice address
202 N 1St St Ste A
Booneville MS 38829-2718
Phone: (662) 340-1138
Fax: (662) 728-5185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13641 | Mississippi |
Profile Details
| NPI number | 1760466262 |
|---|---|
| LBN Legal business name | Dennis, Laurence L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jul 30th, 2013 - about 13 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 | 1760466262 | NPPES |
| Mississippi | MEDICAID | 00112220 |
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