Smith, Larry Eugene
Smith, Larry Eugene is an sole proprietor health care provider with primary practice located at 32208 S. 620 Rd , Grove OK 74344. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Larry Eugene can be contacted via phone (918) 787-7769.Contact Information
Primary practice address
32208 S. 620 Rd
Grove OK 74344
Phone: (918) 787-7769
Fax: (918) 787-7761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 46, 13162 | Oklahoma |
Profile Details
| NPI number | 1548469448 |
|---|---|
| LBN Legal business name | Smith, Larry Eugene |
| Credentials | CADC,ICADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Jul 12th, 2007 - about 18 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 | 1548469448 | NPPES |
| Oklahoma | Other | 46,13162 | CADC, ICADC |
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