Mabry, Larry

Mabry, Larry is an sole proprietor health care provider with primary practice located at 301 E Main St Ste 3 , Wilburton OK 74578-4415. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Mabry, Larry can be contacted via phone (918) 448-8154.

Contact Information

Primary practice address
301 E Main St Ste 3 Wilburton OK 74578-4415
Fax: (918) 465-0301
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1336529254
LBN Legal business name Mabry, Larry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2015
Last updated Jun 5th, 2015 - about 9 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.

Request for update

Popular Providers