Warren, Larry E.
Warren, Larry E. is an sole proprietor health care provider with primary practice located at 507 Knox St , Barbourville KY 40906-1330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Warren, Larry E. can be contacted via phone (606) 546-2511.Contact Information
Primary practice address
507 Knox St
Barbourville KY 40906-1330
Phone: (606) 546-2511
Fax: (606) 546-2513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02875 | Kentucky |
Profile Details
| NPI number | 1316923931 |
|---|---|
| LBN Legal business name | Warren, Larry E. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jul 31st, 2012 - about 13 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 | 1316923931 | NPPES |
| Kentucky | Other | 000000503474 | ANTHEM BCBS |
| Kentucky | Other | C92475 | ANTHEM BCBS |
| Kentucky | Other | 1388019 | ANTHEM BCBS |
| Kentucky | MEDICAID | 64100514 | ANTHEM BCBS |
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