Bain, Larry A
Bain, Larry A is an individual health care provider with primary practice located at 7612 Ne Hazel Dell Ave , Vancouver WA 98665. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bain, Larry A can be contacted via phone (360) 694-1575.Contact Information
Primary practice address
7612 Ne Hazel Dell Ave
Vancouver WA 98665
Phone: (360) 694-1575
Fax: (360) 696-4427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00000783 | Washington |
Profile Details
| NPI number | 1528034931 |
|---|---|
| LBN Legal business name | Bain, Larry A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Feb 17th, 2012 - about 12 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 | 1528034931 | NPPES |
| Oregon | Other | 17047 | OR STATE PAYEE # (L&I) |
| Oregon | MEDICAID | 2041507 | OR STATE PAYEE # (L&I) |
| Oregon | Other | 75953 | OR STATE PAYEE # (L&I) |
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