Pharris, Larry J

Pharris, Larry J is an individual health care provider with primary practice located at 1622 Westgate Cir , Brentwood TN 37027-8019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pharris, Larry J can be contacted via phone (629) 255-2087.

Contact Information

Primary practice address
1622 Westgate Cir Brentwood TN 37027-8019
Fax: (629) 255-4103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD28923 Tennessee

Profile Details

NPI number 1033100763
LBN Legal business name Pharris, Larry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 21st, 2019 - about 6 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 1033100763 NPPES
Tennessee MEDICAID 3810116
Tennessee MEDICAID Q018312

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