Larew, Richard Ellis
Larew, Richard Ellis is an sole proprietor health care provider with primary practice located at 2460 Towncrest Dr , Iowa City IA 52240-6622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Larew, Richard Ellis can be contacted via phone (319) 338-7862.Contact Information
Primary practice address
2460 Towncrest Dr
Iowa City IA 52240-6622
Phone: (319) 338-7862
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27484 | Iowa |
Profile Details
NPI number | 1003880592 |
---|---|
LBN Legal business name | Larew, Richard Ellis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003880592 | NPPES |
Iowa | Other | 49886 | WELLMARK BCBS |
Iowa | MEDICAID | 0292292 | WELLMARK BCBS |
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