Ware, Larry L

Ware, Larry L is an individual health care provider with primary practice located at 322 W South St , Union SC 29379-2839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ware, Larry L can be contacted via phone (864) 429-8029.

Contact Information

Primary practice address
322 W South St Union SC 29379-2839
Fax: (864) 429-3515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15277 South Carolina

Profile Details

NPI number 1861479685
LBN Legal business name Ware, Larry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 14th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861479685 NPPES
South Carolina Other SCC5846084 MEDICARE PIN
South Carolina Other SCC584H888 MEDICARE PIN
South Carolina MEDICAID 152774 MEDICARE PIN

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