Laraya, Jose Ari G

Laraya, Jose Ari G is an individual health care provider with primary practice located at 6570 Stage Rd Ste 100 , Bartlett TN 38134-2839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Laraya, Jose Ari G can be contacted via phone (901) 949-2316.

Contact Information

Primary practice address
6570 Stage Rd Ste 100 Bartlett TN 38134-2839
Fax: (901) 746-8926
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000029040 Tennessee

Profile Details

NPI number 1639120868
LBN Legal business name Laraya, Jose Ari G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Sep 8th, 2023 - about 2 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 1639120868 NPPES
Tennessee MEDICAID 3873385

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