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
Fax: (606) 546-2513
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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