Wood, Larry W

Wood, Larry W is an individual health care provider with primary practice located at 1710 S 70Th St , Lincoln NE 68506-1676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wood, Larry W can be contacted via phone (402) 484-9000.

Contact Information

Primary practice address
1710 S 70Th St Lincoln NE 68506-1676
Fax: (402) 483-4223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11443 Nebraska

Profile Details

NPI number 1114924016
LBN Legal business name Wood, Larry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 18 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 1114924016 NPPES
Nebraska Other 0800034 UNITED HEALTHCARE
Nebraska Other 1546 UNITED HEALTHCARE
Nebraska Other 3473-02 UNITED HEALTHCARE
Nebraska MEDICAID 47062669803 UNITED HEALTHCARE

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