Maddy, Larry Scott
Maddy, Larry Scott is an individual health care provider with primary practice located at 257 W Kings Hwy , Eden NC 27288-5009. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Maddy, Larry Scott can be contacted via phone (336) 627-4263.Contact Information
Primary practice address
257 W Kings Hwy
Eden NC 27288-5009
Phone: (336) 627-4263
Fax: (336) 627-4266
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1145 | North Carolina |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 9105000708 | North Carolina |
Profile Details
NPI number | 1487635934 |
---|---|
LBN Legal business name | Maddy, Larry Scott |
Credentials | OTR L CHT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 10th, 2005 |
Last updated | Jun 16th, 2014 - about 11 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 | 1487635934 | NPPES |
Other | 66985 | MEDCOST | |
MEDICAID | 7301040 | MEDCOST | |
Other | 2510062C | MEDCOST | |
Other | 53709 | MEDCOST | |
Other | 670000776 | MEDCOST |
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