Erpenbach, Larry D
Erpenbach, Larry D is an individual health care provider with primary practice located at 2475 Village Ln Suite 202, Billings MT 59102-2497. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Erpenbach, Larry D can be contacted via phone (406) 252-6608.Contact Information
Primary practice address
2475 Village Ln Suite 202
Billings MT 59102-2497
Phone: (406) 252-6608
Fax: (406) 252-6600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1460261 | Montana |
Profile Details
| NPI number | 1801921713 |
|---|---|
| LBN Legal business name | Erpenbach, Larry D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1801921713 | NPPES |
| Montana | Other | 1460261 | MT STATE ID |
| Montana | MEDICAID | 0482528 | MT STATE ID |
| Montana | Other | 499 | MT STATE ID |
| Montana | Other | 27741 | MT STATE ID |
| Montana | Other | 15008808 | MT STATE ID |
| Montana | Other | 3321 | MT STATE ID |
| Montana | Other | CJ9407 | MT STATE ID |
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