Baldwin, Larry

Baldwin, Larry is an individual health care provider with primary practice located at 689 Tank Farm Rd , San Luis Obispo CA 93401-7077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Baldwin, Larry can be contacted via phone (805) 781-3937.

Contact Information

Primary practice address
689 Tank Farm Rd San Luis Obispo CA 93401-7077
Phone: (805) 781-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G64919 California

Profile Details

NPI number 1205843786
LBN Legal business name Baldwin, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205843786 NPPES
California MEDICAID 00G649190

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