Faust, Larry M
Faust, Larry M is an individual health care provider with primary practice located at 800 Weatherly Dr , Clarksville TN 37043-8943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Faust, Larry M can be contacted via phone (931) 648-1912.Contact Information
Primary practice address
800 Weatherly Dr
Clarksville TN 37043-8943
Phone: (931) 648-1912
Fax: (931) 648-1277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD08258 | Tennessee |
Profile Details
| NPI number | 1942295589 |
|---|---|
| LBN Legal business name | Faust, Larry M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jan 21st, 2013 - about 12 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 | 1942295589 | NPPES |
| Tennessee | MEDICAID | 5440539 |
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