Brashears, Larry Bruce
Brashears, Larry Bruce is an sole proprietor health care provider with primary practice located at 1517 S Main St , Malvern AR 72104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brashears, Larry Bruce can be contacted via phone (501) 332-7525.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C3174 | Arkansas |
Profile Details
| NPI number | 1831110758 |
|---|---|
| LBN Legal business name | Brashears, Larry Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jan 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831110758 | NPPES |
| Arkansas | MEDICAID | 102624001 | |
| Arkansas | Other | C-3174 | |
| Arkansas | Other | 50610 |
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