DR. RAYMOND EDWARD DENNIE M.D. NPI 1467526178

NPI Information

NPI: 1467526178
Provider Name: DR. RAYMOND EDWARD DENNIE, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2724 GREENWOOD RD
SHREVEPORT, LA
ZIP 71109
Phone: (318) 212-4248
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DR. Raymond Edward Dennie, M.D. is a specialist in Shreveport, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Raymond Edward Dennie, M.D. NPI is 1467526178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2724 GREENWOOD RD
SHREVEPORT, LA
ZIP 71109-635
Phone: (318) 212-4248
Fax: (318) 212-4545

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	332900000X	Non-Pharmacy Dispensing Site	AD8213326 DEA	LOUISIANA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies	MD04185R	LOUISIANA	No
3	174400000X	Specialist	4185R	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B-63016	MEDICARE UPIN	LOUISIANA
2	513761	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
3	1182621	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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