Larsen, Eric C

Larsen, Eric C is an individual health care provider with primary practice located at 100 Campus Dr Unit 107, Scarborough ME 04074-9692. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Larsen, Eric C can be contacted via phone (207) 885-7565.

Contact Information

Primary practice address
100 Campus Dr Unit 107 Scarborough ME 04074-9692
Phone: (207) 885-7565
Fax: (207) 885-7577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD16882 Maine
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD16882 Maine

Profile Details

NPI number 1548299548
LBN Legal business name Larsen, Eric C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 26th, 2017 - 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 1548299548 NPPES
New Hampshire MEDICAID 30003473
New Hampshire MEDICAID 431781999

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