Jones, Larry W

Jones, Larry W is an sole proprietor health care provider with primary practice located at 99 Nason Dr , Roaring Spring PA 16673-1203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jones, Larry W can be contacted via phone (814) 224-4439.

Contact Information

Primary practice address
99 Nason Dr Roaring Spring PA 16673-1203
Fax: (814) 224-5930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD009439E Pennsylvania

Profile Details

NPI number 1578564498
LBN Legal business name Jones, Larry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Apr 25th, 2014 - about 10 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 1578564498 NPPES
Pennsylvania MEDICAID 1084266

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