Smith, Larry Dean

Smith, Larry Dean is an individual health care provider with primary practice located at 617 Benton St , Omak WA 98841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Larry Dean can be contacted via phone (509) 422-7416.

Contact Information

Primary practice address
617 Benton St Omak WA 98841
Phone: (509) 422-7416
Fax: (509) 634-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP00001346 Washington

Profile Details

NPI number 1639131386
LBN Legal business name Smith, Larry Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 25th, 2021 - about 3 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 1639131386 NPPES
Washington MEDICAID 1078310
Washington Other G8886888
Washington Other 0264988

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