Smith, Larry Derrell

Smith, Larry Derrell is an individual health care provider with primary practice located at 2450 Sister Mary Columba Dr , Red Bluff CA 96080-4356. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Smith, Larry Derrell can be contacted via phone (530) 527-0414.

Contact Information

Primary practice address
2450 Sister Mary Columba Dr Red Bluff CA 96080-4356
Phone: (530) 527-0414
Fax: (530) 527-3720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA53072 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA53072 California

Profile Details

NPI number 1558332650
LBN Legal business name Smith, Larry Derrell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Apr 6th, 2021 - 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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