Mann, Larry Douglas

Mann, Larry Douglas is an individual health care provider with primary practice located at 2406 Blue Ridge Rd Suite 100, Raleigh NC 27607-6678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mann, Larry Douglas can be contacted via phone (919) 786-5001.

Contact Information

Primary practice address
2406 Blue Ridge Rd Suite 100 Raleigh NC 27607-6678
Phone: (919) 786-5001
Fax: (919) 786-5051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 31574 North Carolina

Profile Details

NPI number 1538130026
LBN Legal business name Mann, Larry Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538130026 NPPES
North Carolina Other 45876 BLUECROSSBLUESHIELD INS #
North Carolina MEDICAID 8953871 BLUECROSSBLUESHIELD INS #

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