Tustin, Larry Carl

Tustin, Larry Carl is an sole proprietor health care provider with primary practice located at 501 Dewey Ave , Poteau OK 74953-4215. 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. Tustin, Larry Carl can be contacted via phone (918) 649-5035.

Contact Information

Primary practice address
501 Dewey Ave Poteau OK 74953-4215
Phone: (918) 649-5035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oklahoma

Profile Details

NPI number 1104145143
LBN Legal business name Tustin, Larry Carl
Credentials BA, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2010
Last updated May 28th, 2010 - about 14 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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