Dean, Larry W
Dean, Larry W is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Dean, Larry W can be contacted via phone (205) 934-4011.Contact Information
Primary practice address
619 19Th Street South
Birmingham AL 35233
Phone: (205) 934-4011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 1-040511 | Alabama |
Profile Details
| NPI number | 1710920970 |
|---|---|
| LBN Legal business name | Dean, Larry W |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | May 20th, 2011 - about 14 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 | 1710920970 | NPPES |
| Alabama | Other | 051505099 | BLUE CROSS |
| Alabama | MEDICAID | 051551249 | BLUE CROSS |
| Alabama | Other | 500021681 | BLUE CROSS |
| Alabama | Other | 051505098 | BLUE CROSS |
| Alabama | MEDICAID | 891003450 | BLUE CROSS |
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