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
Phone: (203) 787-6161
Fax: (203) 776-0300
Website:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1033105929 | NPPES |
| Connecticut | MEDICAID | 001307546 |
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