Wadsworth, Larkin Tyler

Wadsworth, Larkin Tyler is an individual health care provider with primary practice located at 8225 Clayton Rd , Saint Louis MO 63117-1107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wadsworth, Larkin Tyler can be contacted via phone (314) 721-7325.

Contact Information

Primary practice address
8225 Clayton Rd Saint Louis MO 63117-1107
Phone: (314) 721-7325
Fax: (314) 721-1157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 103386 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036118172 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036118172 Illinois

Profile Details

NPI number 1851486575
LBN Legal business name Wadsworth, Larkin Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 10th, 2012 - about 14 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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