Betz, Lara E
Betz, Lara E is an individual health care provider with primary practice located at 1711 Martha Berry Blvd Nw , Rome GA 30165-1623. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Betz, Lara E can be contacted via phone (706) 528-4207.Contact Information
Primary practice address
1711 Martha Berry Blvd Nw
Rome GA 30165-1623
Phone: (706) 528-4207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008282 | Georgia |
Profile Details
| NPI number | 1205832599 |
|---|---|
| LBN Legal business name | Betz, Lara E |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jan 2nd, 2024 - about last year |
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 | 1205832599 | NPPES |
| Georgia | MEDICAID | 700068640A | |
| Georgia | Other | P00359215 | |
| Georgia | MEDICAID | 700068640H |
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