Cantor, Larry
Cantor, Larry is an sole proprietor health care provider with primary practice located at 190 Lime Quarry Rd. Ste 116, Madison AL 35758. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cantor, Larry can be contacted via phone (256) 461-8896.Contact Information
Primary practice address
190 Lime Quarry Rd. Ste 116
Madison AL 35758
Phone: (256) 461-8896
Fax: (256) 461-8897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 851 | Alabama |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 851 | Alabama |
Profile Details
| NPI number | 1144317835 |
|---|---|
| LBN Legal business name | Cantor, Larry |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | May 2nd, 2013 - about 12 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 | 1144317835 | NPPES |
| Alabama | Other | 510-99661 | FEDERAL BLUE CROSS NO |
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