Tate, Larry
Tate, Larry is an sole proprietor health care provider with primary practice located at 107 Kentucky Street , Corbin KY 40701. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Tate, Larry can be contacted via phone (606) 528-2833.Contact Information
Primary practice address
107 Kentucky Street
Corbin KY 40701
Phone: (606) 528-2833
Fax: (606) 528-2862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 0567 | Kentucky |
Profile Details
| NPI number | 1336559186 |
|---|---|
| LBN Legal business name | Tate, Larry |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2014 |
| Last updated | May 2nd, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336559186 | NPPES |
| Kentucky | MEDICAID | 52905676 |
Popular Providers
-
Gregory, Kristin D
60 S Stewart Rd , Corbin KY 40701-4675 -
Gardner, David
306 13Th St , Franklin PA 16323-1335 -
Vaughn, Regina
60 S Stewart Rd , Corbin KY 40701-4675 -
Antman, Alberto
120 Skokie Blvd , Wilmette IL 60091-3050 -
Ruiz, Angel Luis
109 Calle De Diego E , Mayaguez PR 00680-4863 -
Williams, James Roger
2025 Technology Pkwy Ste 103, Mechanicsburg PA 17050-9400 -
Damm, William George
115 Lyra St , Orange Park FL 32073-2504 -
Epstein, Perry
34050 Solon Rd , Solon OH 44139-2664