Larimore, Sean R.

Larimore, Sean R. is an individual health care provider with primary practice located at 800 W Jefferson St , Kirksville MO 63501-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Larimore, Sean R. can be contacted via phone (660) 626-2235.

Contact Information

Primary practice address
800 W Jefferson St Kirksville MO 63501-1443
Phone: (660) 626-2235
Fax: (660) 626-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002014450 Missouri

Profile Details

NPI number 1689655441
LBN Legal business name Larimore, Sean R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 12th, 2009 - about 17 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 1689655441 NPPES
Missouri Other 431560263 TRICARE WEST
Missouri Other P00700775 TRICARE WEST
Missouri MEDICAID 1689655441 TRICARE WEST
Missouri MEDICAID 209152818 TRICARE WEST

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