Smith, Larry Dean
Smith, Larry Dean is an individual health care provider with primary practice located at 617 Benton St , Omak WA 98841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Larry Dean can be contacted via phone (509) 422-7416.Contact Information
Primary practice address
617 Benton St
Omak WA 98841
Phone: (509) 422-7416
Fax: (509) 634-2945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OP00001346 | Washington |
Profile Details
| NPI number | 1639131386 |
|---|---|
| LBN Legal business name | Smith, Larry Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Aug 25th, 2021 - about 5 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 | 1639131386 | NPPES |
| Washington | MEDICAID | 1078310 | |
| Washington | Other | G8886888 | |
| Washington | Other | 0264988 |
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