Lett, Larry R
Lett, Larry R is an individual health care provider with primary practice located at 2350 S Dixon Rd Suite 430, Kokomo IN 46902-6428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lett, Larry R can be contacted via phone (765) 319-3681.Contact Information
Primary practice address
2350 S Dixon Rd Suite 430
Kokomo IN 46902-6428
Phone: (765) 319-3681
Fax: (765) 319-3683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01027809A | Indiana |
Profile Details
| NPI number | 1457361115 |
|---|---|
| LBN Legal business name | Lett, Larry R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jan 21st, 2010 - about 15 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 | 1457361115 | NPPES |
| Indiana | MEDICAID | 100354410 | |
| Indiana | Other | 000000082993 | |
| Indiana | Other | 3566882001 |
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