Pickett, Larry Michael

Pickett, Larry Michael is an individual health care provider with primary practice located at 433 W High St , Bryan OH 43506-1690. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Pickett, Larry Michael can be contacted via phone (419) 636-1131.

Contact Information

Primary practice address
433 W High St Bryan OH 43506-1690
Phone: (419) 636-1131
Fax: (419) 636-3100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN.CRNA.08426 Ohio

Profile Details

NPI number 1063413813
LBN Legal business name Pickett, Larry Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 17th, 2020 - about 4 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 1063413813 NPPES
Ohio MEDICAID 2626573

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