LARRY WELLMAN NPI 1023138161

NPI Information

  • NPI: 1023138161
  • Provider Name: LARRY WELLMAN
  • Classification: Lodging - 177F00000X
  • Entity Type: Individual
  • Address: 410 GARNER ST W
    WILSON, NC
    ZIP 27893
  • Phone: (252) 237-4242

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NPI Details

Larry Wellman is a lodging in Wilson, NC. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. Larry Wellman NPI is 1023138161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

410 GARNER ST W
WILSON, NC
ZIP 27893-835
Phone: (252) 237-4242
Fax: (252) 237-8917

The enumeration date for this NPI number is 3/30/2007 and was last updated on 6/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2177F00000XLodgingMHL098077NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17804567MEDICAIDNORTH CAROLINA
28301975BMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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