Wundrow, Larry W

Wundrow, Larry W is an individual health care provider with primary practice located at 601 S Orange St , Missoula MT 59801-2611. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Wundrow, Larry W can be contacted via phone (406) 549-1951.

Contact Information

Primary practice address
601 S Orange St Missoula MT 59801-2611
Phone: (406) 549-1951
Fax: (406) 542-5682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 178 Montana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 114 Montana

Profile Details

NPI number 1831233790
LBN Legal business name Wundrow, Larry W
Credentials MS, AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 21st, 2010 - about 14 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 1831233790 NPPES
Montana MEDICAID 0569257
Montana Other 029108
Montana MEDICAID 0531076
Montana MEDICAID 1831233790

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