Larrick, William Raymond
Larrick, William Raymond is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Larrick, William Raymond can be contacted via phone (505) 368-7100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1422 | New Mexico |
Profile Details
| NPI number | 1447381041 |
|---|---|
| LBN Legal business name | Larrick, William Raymond |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Sep 29th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447381041 | NPPES |
| Arizona | MEDICAID | 303220 | |
| Arizona | MEDICAID | 56273053 | |
| Arizona | MEDICAID | Z1907 |
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