Dennis, Larry

Dennis, Larry is an individual health care provider with primary practice located at 101 Elm Ave Se , Roanoke VA 24013-2222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Dennis, Larry can be contacted via phone (540) 985-9985.

Contact Information

Primary practice address
101 Elm Ave Se Roanoke VA 24013-2222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 0101045754 Virginia

Profile Details

NPI number 1336118488
LBN Legal business name Dennis, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 30th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1336118488 NPPES
Virginia MEDICAID 6242715
Virginia MEDICAID 6217290

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