Parker, Larry Juan
Parker, Larry Juan is an sole proprietor health care provider with primary practice located at 220 St Thomas Rd , Fayetteville NC 28311-2999. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Parker, Larry Juan can be contacted via phone (910) 978-4128.Contact Information
Primary practice address
220 St Thomas Rd
Fayetteville NC 28311-2999
Phone: (910) 978-4128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 98 00005 | North Carolina |
Profile Details
| NPI number | 1457685786 |
|---|---|
| LBN Legal business name | Parker, Larry Juan |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2009 |
| Last updated | Feb 22nd, 2010 - about 14 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 | 1457685786 | NPPES |
| North Carolina | Other | P80624 | ETN |
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