Bolain, Larry Paul

Bolain, Larry Paul is an sole proprietor health care provider with primary practice located at 11680 S 153Rd West Ave , Sapulpa OK 74066-8564. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bolain, Larry Paul can be contacted via phone (918) 889-2310.

Contact Information

Primary practice address
11680 S 153Rd West Ave Sapulpa OK 74066-8564
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1477390649
LBN Legal business name Bolain, Larry Paul
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2024
Last updated Jul 13th, 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.

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