Larrivey, Roberto A.
Larrivey, Roberto A. is an individual health care provider with primary practice located at 790 Church St Ne Ste 140, Marietta GA 30060-8902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Larrivey, Roberto A. can be contacted via phone (770) 425-7199.Contact Information
Primary practice address
790 Church St Ne Ste 140
Marietta GA 30060-8902
Phone: (770) 425-7199
Fax: (678) 819-5538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 052983 | Georgia |
Profile Details
| NPI number | 1720083702 |
|---|---|
| LBN Legal business name | Larrivey, Roberto A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Nov 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720083702 | NPPES |
| Georgia | MEDICAID | 956323850A | |
| Georgia | MEDICAID | 956323850B |
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