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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083617336 | NPPES |
| California | Other | PT6453 | CA. STATE LICENSE NUMBER |
| California | MEDICAID | PT0064530 | CA. STATE LICENSE NUMBER |
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