Bales, Larry
Bales, Larry is an individual health care provider with primary practice located at 13218 Brook Lane Drive , Hagerstown MD 21742-1945. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bales, Larry can be contacted via phone (301) 733-0331.Contact Information
Primary practice address
13218 Brook Lane Drive
Hagerstown MD 21742-1945
Phone: (301) 733-0331
Fax: (301) 733-4038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 03899 | Maryland |
Profile Details
| NPI number | 1386615805 |
|---|---|
| LBN Legal business name | Bales, Larry |
| Credentials | LCSWC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Feb 1st, 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 | 1386615805 | NPPES |
| Maryland | MEDICAID | 986965400 |
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