Heath, Larry K

Heath, Larry K is an sole proprietor health care provider with primary practice located at 493 Blackwell Rd Suite 101A, Warrenton VA 20186-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heath, Larry K can be contacted via phone (540) 316-4325.

Contact Information

Primary practice address
493 Blackwell Rd Suite 101A Warrenton VA 20186-2639
Phone: (540) 316-4325
Fax: (540) 316-4331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101243352 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32455 Wisconsin

Profile Details

NPI number 1841305331
LBN Legal business name Heath, Larry K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Aug 2nd, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841305331 NPPES
Wisconsin MEDICAID 31770600

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