Gold, Larry Alan
Gold, Larry Alan is an sole proprietor health care provider with primary practice located at 4190 E Woodmen Rd Ste 100 , Colorado Springs CO 80920-8075. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gold, Larry Alan can be contacted via phone (719) 632-4455.Contact Information
Primary practice address
4190 E Woodmen Rd Ste 100
Colorado Springs CO 80920-8075
Phone: (719) 632-4455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C022116 | Colorado |
Profile Details
| NPI number | 1972596815 |
|---|---|
| LBN Legal business name | Gold, Larry Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 28th, 2020 - about 4 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 | 1972596815 | NPPES |
| Colorado | MEDICAID | 01221167 |
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