Terrell, Larry Edward

Terrell, Larry Edward is an sole proprietor health care provider with primary practice located at 1711 E Evans Ave , Pueblo CO 81004-3349. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Terrell, Larry Edward can be contacted via phone (719) 561-9850.

Contact Information

Primary practice address
1711 E Evans Ave Pueblo CO 81004-3349
Phone: (719) 561-9850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3164 Colorado

Profile Details

NPI number 1124237730
LBN Legal business name Terrell, Larry Edward
Credentials CAC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
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.

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