Nulton, Larry J
Nulton, Larry J is an sole proprietor health care provider with primary practice located at 214 College Park Plz , Johnstown PA 15904-2833. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nulton, Larry J can be contacted via phone (814) 262-0025.Contact Information
Primary practice address
214 College Park Plz
Johnstown PA 15904-2833
Phone: (814) 262-0025
Fax: (814) 266-8745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS007732L | Pennsylvania |
Profile Details
| NPI number | 1497896906 |
|---|---|
| LBN Legal business name | Nulton, Larry J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Nov 30th, 2011 - about 15 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 | 1497896906 | NPPES |
| Pennsylvania | MEDICAID | 1524550 |
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