Ganz, Larry Samuel

Ganz, Larry Samuel is an individual health care provider with primary practice located at 916 N Weber St , Colorado Springs CO 80903-2921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Ganz, Larry Samuel can be contacted via phone (719) 448-9466.

Contact Information

Primary practice address
916 N Weber St Colorado Springs CO 80903-2921
Fax: (719) 448-9467
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 30743 Colorado

Profile Details

NPI number 1477609741
LBN Legal business name Ganz, Larry Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1477609741 NPPES
Colorado MEDICAID 01307438

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