Blair, Larry V.

Blair, Larry V. is an individual health care provider with primary practice located at 408 W Fountain St , Albert Lea MN 56007-2437. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blair, Larry V. can be contacted via phone (507) 373-2384.

Contact Information

Primary practice address
408 W Fountain St Albert Lea MN 56007-2437
Phone: (507) 373-2384
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10727 Minnesota

Profile Details

NPI number 1083936181
LBN Legal business name Blair, Larry V.
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Dec 30th, 2020 - about 4 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 1083936181 NPPES
Minnesota MEDICAID 708390400

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