Clevenger, Larry Russel
Clevenger, Larry Russel is an sole proprietor health care provider with primary practice located at 1515 Eubank Blvd Ne , Albuquerque NM 87112-4112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Clevenger, Larry Russel can be contacted via phone (505) 845-8037.Contact Information
Primary practice address
1515 Eubank Blvd Ne
Albuquerque NM 87112-4112
Phone: (505) 845-8037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 75-126 | New Mexico |
Profile Details
| NPI number | 1558404202 |
|---|---|
| LBN Legal business name | Clevenger, Larry Russel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Sep 10th, 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.
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