Patton, Larry

Patton, Larry is an individual health care provider with primary practice located at 4910 Valley View Blvd Nw , Roanoke VA 24012-2040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Patton, Larry can be contacted via phone (540) 265-1604.

Contact Information

Primary practice address
4910 Valley View Blvd Nw Roanoke VA 24012-2040
Fax: (540) 265-1684
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101040969 Virginia

Profile Details

NPI number 1124007448
LBN Legal business name Patton, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Nov 28th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124007448 NPPES
Virginia Other P00277055 MEDICARE RAILROAD

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