Cantley, Larry Keith
Cantley, Larry Keith is an individual health care provider with primary practice located at 755 Highland Oaks Dr Suite 201, Winston Salem NC 27103-7106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Cantley, Larry Keith can be contacted via phone (336) 765-0020.Contact Information
Primary practice address
755 Highland Oaks Dr Suite 201
Winston Salem NC 27103-7106
Phone: (336) 765-0020
Fax: (336) 765-0581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 24230 | North Carolina |
Profile Details
| NPI number | 1457336893 |
|---|---|
| LBN Legal business name | Cantley, Larry Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jun 27th, 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 | 1457336893 | NPPES |
| North Carolina | MEDICAID | 89127FN | |
| North Carolina | MEDICAID | Q24230 | |
| North Carolina | Other | 127FN | |
| North Carolina | Other | 1001 | |
| North Carolina | MEDICAID | 3002077000 | |
| North Carolina | Other | A0333 | |
| North Carolina | Other | 4098171 | |
| North Carolina | MEDICAID | 5850215 |
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