Larry D Walls Md Prof Llc

LBN: Larry D Walls Md Prof Llc
Larry D Walls Md Prof Llc is an health care organization with primary practice located at 2001 Lake Ave , Pueblo CO 81004-3538. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Larry D Walls Md Prof Llc can be contacted via phone (719) 564-0300, or through Walls, Carole J via phone (719) 564-0300.

Contact Information

Primary practice address
2001 Lake Ave Pueblo CO 81004-3538
Phone: (719) 564-0300
Fax: (719) 564-0303
Website:
Map and Directions
Authorized official contact:
Name: Walls, Carole J
Phone: (719) 564-0300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16515 Colorado

Profile Details

NPI number 1497912851
LBN Legal business name Larry D Walls Md Prof Llc
DBA Doing business as
Authorized official Walls, Carole J
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated Oct 31st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497912851 NPPES
Colorado MEDICAID 80076807

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