King, Larry Cooper

King, Larry Cooper is an sole proprietor health care provider with primary practice located at 3520 Oakdale Rd. Ste. B , Modesto CA 95357-0714. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. King, Larry Cooper can be contacted via phone (209) 847-7775.

Contact Information

Primary practice address
3520 Oakdale Rd. Ste. B Modesto CA 95357-0714
Phone: (209) 847-7775
Fax: (209) 847-7728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3557 California

Profile Details

NPI number 1134261050
LBN Legal business name King, Larry Cooper
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Aug 4th, 2011 - about 13 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 1134261050 NPPES
California MEDICAID HA0035570
California Other HA3557

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