Hinson, Larry D

Hinson, Larry D is an sole proprietor health care provider with primary practice located at 18661 Old Coast Hwy , Fort Bragg CA 95437-8260. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hinson, Larry D can be contacted via phone (707) 964-5645.

Contact Information

Primary practice address
18661 Old Coast Hwy Fort Bragg CA 95437-8260
Phone: (707) 964-5645
Fax: (707) 964-6213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6453 California

Profile Details

NPI number 1083617336
LBN Legal business name Hinson, Larry D
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Nov 26th, 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 1083617336 NPPES
California Other PT6453 CA. STATE LICENSE NUMBER
California MEDICAID PT0064530 CA. STATE LICENSE NUMBER

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