Blank, Larry Steven
Blank, Larry Steven is an individual health care provider with primary practice located at 1 Western Oregon Service Unit Chemawa Indian Health Center, Salem OR 97305-1111. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blank, Larry Steven can be contacted via phone (503) 304-7600.Contact Information
Primary practice address
1 Western Oregon Service Unit Chemawa Indian Health Center
Salem OR 97305-1111
Phone: (503) 304-7600
Fax: (503) 304-7678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 9431 | Arizona |
Profile Details
| NPI number | 1407836489 |
|---|---|
| LBN Legal business name | Blank, Larry Steven |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1407836489 | NPPES |
| Oregon | MEDICAID | 270030 |
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