Eninger, Larry Allen

Eninger, Larry Allen is an individual health care provider with primary practice located at 515 E Washington Blvd , Crescent City CA 95531-8342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Eninger, Larry Allen can be contacted via phone (707) 465-2020.

Contact Information

Primary practice address
515 E Washington Blvd Crescent City CA 95531-8342
Phone: (707) 465-2020
Fax: (707) 465-6252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A33786 California

Profile Details

NPI number 1972588168
LBN Legal business name Eninger, Larry Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 29th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972588168 NPPES
California MEDICAID 00A337860

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