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Contact Information

DARICA GREEN
9730 BAIRD RD APT 1421
SHREVEPORT, LA71118-3822
 Phone: 318-550-7655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for DARICA GREEN · (Female)

NPI # 1396118634
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2015
Last updated 11/09/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 140249
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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