Lariscy, David Wayne
Lariscy, David Wayne is an sole proprietor health care provider with primary practice located at 1058 Bermuda Run , Statesboro GA 30458-0858. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Lariscy, David Wayne can be contacted via phone (912) 243-9274.Contact Information
Primary practice address
1058 Bermuda Run
Statesboro GA 30458-0858
Phone: (912) 243-9274
Fax: (912) 341-6513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 074285 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 56424 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 074285 | Georgia |
Profile Details
| NPI number | 1134362718 |
|---|---|
| LBN Legal business name | Lariscy, David Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2009 |
| Last updated | Mar 13th, 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 | 1134362718 | NPPES |
| Georgia | MEDICAID | 003172897 |
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