Hill, Lary M
Hill, Lary M is an individual health care provider with primary practice located at 1121 S Clifton Ave , Wichita KS 67218-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hill, Lary M can be contacted via phone (316) 689-5500.Contact Information
Primary practice address
1121 S Clifton Ave
Wichita KS 67218-2912
Phone: (316) 689-5500
Fax: (316) 858-3458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0417854 | Kansas |
Profile Details
| NPI number | 1093710766 |
|---|---|
| LBN Legal business name | Hill, Lary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Feb 7th, 2015 - about 9 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 | 1093710766 | NPPES |
| Kansas | MEDICAID | 100285020A |
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