Welling, Larry Ray

Welling, Larry Ray is an individual health care provider with primary practice located at 3451 N Butler Ave , Farmington NM 87401. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Welling, Larry Ray can be contacted via phone (505) 566-1915.

Contact Information

Primary practice address
3451 N Butler Ave Farmington NM 87401
Phone: (505) 566-1915
Fax: (505) 566-1918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2000-308 New Mexico
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2000-308 New Mexico
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 2000-308 New Mexico

Profile Details

NPI number 1720183874
LBN Legal business name Welling, Larry Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 15th, 2018 - about 8 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 1720183874 NPPES
New Mexico MEDICAID A2516

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