Perry, Larry Elbert

Perry, Larry Elbert is an sole proprietor health care provider with primary practice located at 20405 Alberta St , Oneida TN 37841-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Perry, Larry Elbert can be contacted via phone (423) 569-8840.

Contact Information

Primary practice address
20405 Alberta St Oneida TN 37841-3509
Phone: (423) 569-8840
Fax: (423) 569-2533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD0000031532 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35454 Kentucky

Profile Details

NPI number 1104849264
LBN Legal business name Perry, Larry Elbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1104849264 NPPES
Tennessee MEDICAID 3061062
Tennessee MEDICAID 64799612

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