Price, Larry

Price, Larry is an individual health care provider with primary practice located at 1298 Old Cove Rd , Russellville AR 72802-1563. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Price, Larry can be contacted via phone (479) 968-4668.

Contact Information

Primary practice address
1298 Old Cove Rd Russellville AR 72802-1563
Phone: (479) 968-4668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X C5442 Arkansas

Profile Details

NPI number 1174550990
LBN Legal business name Price, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 30th, 2013 - about 11 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 1174550990 NPPES
Arkansas MEDICAID 103581001
Arkansas Other 54154

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