Sargent, Larry A

Sargent, Larry A is an individual health care provider with primary practice located at 620 Medical Dr Suite 310, Bountiful UT 84010-5084. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Sargent, Larry A can be contacted via phone (801) 295-6554.

Contact Information

Primary practice address
620 Medical Dr Suite 310 Bountiful UT 84010-5084
Phone: (801) 295-6554
Fax: (801) 294-4983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 18170 Tennessee
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 18170 Tennessee

Profile Details

NPI number 1346217882
LBN Legal business name Sargent, Larry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Oct 17th, 2016 - about 10 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 1346217882 NPPES
Tennessee MEDICAID 000348466A
Tennessee Other 2006636
Tennessee Other PLF03906636
Tennessee Other 0151430
Tennessee Other 240004378
Tennessee Other 1348074
Tennessee Other TN0105
Tennessee Other 1114640001

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