Shapiro, Larry D

Shapiro, Larry D is an sole proprietor health care provider with primary practice located at 901 E Chapin St , Litchfield IL 62056-1350. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Shapiro, Larry D can be contacted via phone (217) 324-3761.

Contact Information

Primary practice address
901 E Chapin St Litchfield IL 62056-1350
Phone: (217) 324-3761
Fax: (217) 324-0313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 019020998 Illinois

Profile Details

NPI number 1952399917
LBN Legal business name Shapiro, Larry D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Feb 12th, 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 1952399917 NPPES
Illinois Other 019020998 DENTAL LICENSE NUMBER
Illinois MEDICAID 9179256 DENTAL LICENSE NUMBER

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