West, Larry G

West, Larry G is an individual health care provider with primary practice located at 1685 Baldwin Ave Ste 100 , Pontiac MI 48340-1242. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. West, Larry G can be contacted via phone (248) 706-3450.

Contact Information

Primary practice address
1685 Baldwin Ave Ste 100 Pontiac MI 48340-1242
Phone: (248) 706-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Michigan

Profile Details

NPI number 1376156919
LBN Legal business name West, Larry G
Credentials CPSS, CPRC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2020
Last updated Aug 24th, 2020 - about 5 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.

Request for update

Popular Providers