Hunefeld, Larry Ray

Hunefeld, Larry Ray is an individual health care provider with primary practice located at 1441 N Gardner St , Scottsburg IN 47170-7751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hunefeld, Larry Ray can be contacted via phone (812) 752-4055.

Contact Information

Primary practice address
1441 N Gardner St Scottsburg IN 47170-7751
Phone: (812) 752-4055
Fax: (812) 752-5835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01040675A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01040675 Indiana

Profile Details

NPI number 1902800824
LBN Legal business name Hunefeld, Larry Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jun 29th, 2016 - about 8 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 1902800824 NPPES
Indiana MEDICAID 100443030

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