Chase, Larry K
Chase, Larry K is an individual health care provider with primary practice located at 3525 S National Ave Ste 101, Springfield MO 65807-7310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Chase, Larry K can be contacted via phone (417) 269-9950.Contact Information
Primary practice address
3525 S National Ave Ste 101
Springfield MO 65807-7310
Phone: (417) 269-9950
Fax: (417) 269-9959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R2D20 | Missouri |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | R2D20 | Missouri |
Profile Details
NPI number | 1891790408 |
---|---|
LBN Legal business name | Chase, Larry K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2005 |
Last updated | Jun 10th, 2019 - about 5 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 | 1891790408 | NPPES |
Missouri | MEDICAID | 201827912 |
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