Larsen, Joseph Conrad
Larsen, Joseph Conrad is an individual health care provider with primary practice located at 415 N Jackson St , Americus GA 31709-3015. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Larsen, Joseph Conrad can be contacted via phone (229) 815-5454.Contact Information
Primary practice address
415 N Jackson St
Americus GA 31709-3015
Phone: (229) 815-5454
Fax: (229) 931-4439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Georgia |
Profile Details
| NPI number | 1568102978 |
|---|---|
| LBN Legal business name | Larsen, Joseph Conrad |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2022 |
| Last updated | Apr 1st, 2022 - about 4 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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