Eubanks, Larry Brent

Eubanks, Larry Brent is an sole proprietor health care provider with primary practice located at 301 Andrews Ave. , Ft. Rucker AL 36362. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Eubanks, Larry Brent can be contacted via phone (334) 255-7523.

Contact Information

Primary practice address
301 Andrews Ave. Ft. Rucker AL 36362
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3540C Alabama

Profile Details

NPI number 1922437201
LBN Legal business name Eubanks, Larry Brent
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2013
Last updated Feb 21st, 2022 - about 3 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 1922437201 NPPES
Alabama Other 3540C LICENSE

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