Wheeler, Larry

Wheeler, Larry is an individual health care provider with primary practice located at 371 Southland Dr , Lexington KY 40503-1824. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Wheeler, Larry can be contacted via phone (859) 266-0420.

Contact Information

Primary practice address
371 Southland Dr Lexington KY 40503-1824
Phone: (859) 266-0420
Fax: (859) 266-0667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X 111233 Kentucky

Profile Details

NPI number 1104939156
LBN Legal business name Wheeler, Larry
Credentials C.PED
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 21st, 2016 - about 9 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 1104939156 NPPES
Kentucky Other 000000519294 ANTHEM BC/BS
Kentucky Other 208278527 ANTHEM BC/BS
Kentucky Other 5574649 ANTHEM BC/BS
Kentucky MEDICAID 7100026770 ANTHEM BC/BS
Kentucky Other 5939230001 ANTHEM BC/BS
Kentucky Other 208278527 ANTHEM BC/BS

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