Starr, Larry Dean
Starr, Larry Dean is an individual health care provider with primary practice located at 2559 Medical Dr Ste A, Alamogordo NM 88310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Starr, Larry Dean can be contacted via phone (505) 434-1500.Contact Information
Primary practice address
2559 Medical Dr Ste A
Alamogordo NM 88310
Phone: (505) 434-1500
Fax: (505) 434-1680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 75253 | New Mexico |
Profile Details
| NPI number | 1548216211 |
|---|---|
| LBN Legal business name | Starr, Larry Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1548216211 | NPPES |
| New Mexico | Other | 88310A003 | TRICARE |
| New Mexico | Other | NM012678 | TRICARE |
| New Mexico | MEDICAID | 26708 | TRICARE |
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