Hirsch, Larry Keith

Hirsch, Larry Keith is an sole proprietor health care provider with primary practice located at 1086 Franklin St Conemaugh Emergency Physicians Group, Johnstown PA 15905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hirsch, Larry Keith can be contacted via phone (814) 534-9600.

Contact Information

Primary practice address
1086 Franklin St Conemaugh Emergency Physicians Group Johnstown PA 15905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD019885E Pennsylvania

Profile Details

NPI number 1972572113
LBN Legal business name Hirsch, Larry Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972572113 NPPES
Virginia MEDICAID 1972572113
Virginia MEDICAID 64129109
Virginia MEDICAID 007365139

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