Ganz, Larry Samuel
Ganz, Larry Samuel is an individual health care provider with primary practice located at 916 N Weber St , Colorado Springs CO 80903-2921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Ganz, Larry Samuel can be contacted via phone (719) 448-9466.Contact Information
Primary practice address
916 N Weber St
Colorado Springs CO 80903-2921
Phone: (719) 448-9466
Fax: (719) 448-9467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 30743 | Colorado |
Profile Details
| NPI number | 1477609741 |
|---|---|
| LBN Legal business name | Ganz, Larry Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477609741 | NPPES |
| Colorado | MEDICAID | 01307438 |
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