Smith, Larry R
Smith, Larry R is an sole proprietor health care provider with primary practice located at 235 Richmond St , Mt Vernon KY 40456-0593. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Larry R can be contacted via phone (606) 256-0242.Contact Information
Primary practice address
235 Richmond St
Mt Vernon KY 40456-0593
Phone: (606) 256-0242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4003 | Kentucky |
Profile Details
| NPI number | 1033202916 |
|---|---|
| LBN Legal business name | Smith, Larry R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 30th, 2015 - about 11 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 | 1033202916 | NPPES |
| Kentucky | MEDICAID | 85001014 |
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