Laraway, John David
Laraway, John David is an sole proprietor health care provider with primary practice located at 819 E Market Place Dr Ste 300 , Spanish Fork UT 84660-1396. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Laraway, John David can be contacted via phone (801) 465-2559.Contact Information
Primary practice address
819 E Market Place Dr Ste 300
Spanish Fork UT 84660-1396
Phone: (801) 465-2559
Fax: (801) 465-2590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 9786 | Montana |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | Q6223 | Texas |
Profile Details
| NPI number | 1255378212 |
|---|---|
| LBN Legal business name | Laraway, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 11th, 2023 - about 3 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 | 1255378212 | NPPES |
| Montana | MEDICAID | 1255378212 | |
| Montana | MEDICAID | 1255378212 | |
| Montana | MEDICAID | 1255378212 |
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