Patrick, Larry

Patrick, Larry is an individual health care provider with primary practice located at 3214 E Race Ave , Searcy AR 72143-4810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Patrick, Larry can be contacted via phone (501) 268-6121.

Contact Information

Primary practice address
3214 E Race Ave Searcy AR 72143-4810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C5298 Arkansas

Profile Details

NPI number 1083652143
LBN Legal business name Patrick, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 22nd, 2008 - about 18 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 1083652143 NPPES
Arkansas Other 5K151 BLUE CROSS BLUE SHIELD
Arkansas Other P00432084 BLUE CROSS BLUE SHIELD
Arkansas MEDICAID 129983001 BLUE CROSS BLUE SHIELD

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