Sivils, Larry W
Sivils, Larry W is an individual health care provider with primary practice located at 935 Highway 51 , Madison MS 39110-8407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sivils, Larry W can be contacted via phone (601) 856-5986.Contact Information
Primary practice address
935 Highway 51
Madison MS 39110-8407
Phone: (601) 856-5986
Fax: (601) 853-2321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11084 | Mississippi |
Profile Details
| NPI number | 1609885284 |
|---|---|
| LBN Legal business name | Sivils, Larry W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609885284 | NPPES |
| Mississippi | MEDICAID | 0114414 |
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