Boll, Larry A

Boll, Larry A is an individual health care provider with primary practice located at 111 S Whittier St Suite 305, Wichita KS 67207-1048. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boll, Larry A can be contacted via phone (316) 689-4220.

Contact Information

Primary practice address
111 S Whittier St Suite 305 Wichita KS 67207-1048
Phone: (316) 689-4220
Fax: (316) 689-4221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 288 Kansas

Profile Details

NPI number 1174633788
LBN Legal business name Boll, Larry A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1174633788 NPPES
Kansas Other 007049 BC/BS

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