Falk, Larry Charles

Falk, Larry Charles is an sole proprietor health care provider with primary practice located at 244 Hospital Dr Ste A , Ukiah CA 95482-4557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Falk, Larry Charles can be contacted via phone (707) 468-5000.

Contact Information

Primary practice address
244 Hospital Dr Ste A Ukiah CA 95482-4557
Phone: (707) 468-5000
Fax: (707) 468-5097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G45179 California

Profile Details

NPI number 1104921378
LBN Legal business name Falk, Larry Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jul 9th, 2007 - about 18 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 1104921378 NPPES
California Other G45179 CALIFORNIA MEDICAL LIC#
California MEDICAID 00G451790 CALIFORNIA MEDICAL LIC#

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