Lariscy, Clinton

Lariscy, Clinton is an sole proprietor health care provider with primary practice located at 3355 Illinois St Recruit Training Command Great Lakes, Great Lakes IL 60088. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Lariscy, Clinton can be contacted via phone (847) 688-4643.

Contact Information

Primary practice address
3355 Illinois St Recruit Training Command Great Lakes Great Lakes IL 60088
Phone: (847) 688-4643
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1164736302
LBN Legal business name Lariscy, Clinton
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2010
Last updated Jul 29th, 2010 - about 14 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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