Assalita, Larry J.
Assalita, Larry J. is an sole proprietor health care provider with primary practice located at 1382 Sconsett Way , State College PA 16803-2438. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Assalita, Larry J. can be contacted via phone (814) 826-5337.Contact Information
Primary practice address
1382 Sconsett Way
State College PA 16803-2438
Phone: (814) 826-5337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | SC-002410-L | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | SC-002410-L | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | SC-002410-L | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | SC002410L | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | SC-002410-L | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC-002410-L | Pennsylvania |
Profile Details
| NPI number | 1891874285 |
|---|---|
| LBN Legal business name | Assalita, Larry J. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2006 |
| Last updated | Feb 16th, 2021 - about 3 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 | 1891874285 | NPPES |
| Pennsylvania | MEDICAID | 0008677650001 | |
| Pennsylvania | MEDICAID | 000867765 |
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