Dillaha, Larry
Dillaha, Larry is an sole proprietor health care provider with primary practice located at 2046 Breckenridge Dr , Mount Juliet TN 37122-6305. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Dillaha, Larry can be contacted via phone (615) 767-0074.Contact Information
Primary practice address
2046 Breckenridge Dr
Mount Juliet TN 37122-6305
Phone: (615) 767-0074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD24875 | Tennessee |
Profile Details
| NPI number | 1760769400 |
|---|---|
| LBN Legal business name | Dillaha, Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2011 |
| Last updated | Nov 9th, 2011 - about 15 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.
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