Provider Demographics
NPI:1730314303
Name:DOLLAR, DRU W (BC-HIS)
Entity Type:Individual
Prefix:
First Name:DRU
Middle Name:W
Last Name:DOLLAR
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MCMILLAN RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5353
Mailing Address - Country:US
Mailing Address - Phone:318-605-3321
Mailing Address - Fax:318-605-4576
Practice Address - Street 1:105 MCMILLAN RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5353
Practice Address - Country:US
Practice Address - Phone:318-605-3321
Practice Address - Fax:318-605-4576
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1084237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist