Wellman, Larry

Wellman, Larry is an sole proprietor health care provider with primary practice located at 410 Garner St W , Wilson NC 27893-2835. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Lodging, Agencies / Community/Behavioral Health. Other Service Providers / Lodging is his primary health care specialty. Wellman, Larry can be contacted via phone (252) 237-4242.

Contact Information

Primary practice address
410 Garner St W Wilson NC 27893-2835
Phone: (252) 237-4242
Fax: (252) 237-8917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X MHL098077 North Carolina
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1023138161
LBN Legal business name Wellman, Larry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Jun 10th, 2008 - about 17 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 1023138161 NPPES
North Carolina MEDICAID 8301975B
North Carolina MEDICAID 7804567

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