Larrison, Wayne Ian

Larrison, Wayne Ian is an individual health care provider with primary practice located at 46 Prince St Suite 402A, New Haven CT 06519-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Larrison, Wayne Ian can be contacted via phone (203) 787-6161.

Contact Information

Primary practice address
46 Prince St Suite 402A New Haven CT 06519-1600
Fax: (203) 776-0300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 030754 Connecticut

Profile Details

NPI number 1033105929
LBN Legal business name Larrison, Wayne Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033105929 NPPES
Connecticut MEDICAID 001307546

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