Ault, Lawrence Carroll
Ault, Lawrence Carroll is an sole proprietor health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ault, Lawrence Carroll can be contacted via phone (405) 456-4575.Contact Information
Primary practice address
921 Ne 13Th St
Oklahoma City OK 73104-5007
Phone: (405) 456-4575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | N7862 | Arkansas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | N7862 | Arkansas |
Profile Details
| NPI number | 1275512030 |
|---|---|
| LBN Legal business name | Ault, Lawrence Carroll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Oct 18th, 2022 - about 2 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 | 1275512030 | NPPES |
| Arkansas | MEDICAID | 117339001 |
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