Mcclure, Larry T

Mcclure, Larry T is an sole proprietor health care provider with primary practice located at 619 W Main St , Clarkson KY 42726. He recently has only one registered license in Ambulatory Health Care Facilities / VA, which is considered as his primary health care specialty. Mcclure, Larry T can be contacted via phone (866) 653-8232.

Contact Information

Primary practice address
619 W Main St Clarkson KY 42726
Phone: (866) 653-8232
Fax: (270) 242-0579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / VA 261QV0200X

Profile Details

NPI number 1134111784
LBN Legal business name Mcclure, Larry T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Jun 22nd, 2018 - about 8 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 1134111784 NPPES
Kentucky Other 1121036 PASSPORT
Kentucky Other 175904 PASSPORT
Kentucky MEDICAID 64188675 PASSPORT

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