Larson, Bradly Kendall
Larson, Bradly Kendall is an sole proprietor health care provider with primary practice located at 8889 Jewella Ave Ste C , Shreveport LA 71118-2138. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larson, Bradly Kendall can be contacted via phone (318) 686-5227.Contact Information
Primary practice address
8889 Jewella Ave Ste C
Shreveport LA 71118-2138
Phone: (318) 686-5227
Fax: (381) 686-5283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1775-709T | Louisiana |
Profile Details
| NPI number | 1053729152 |
|---|---|
| LBN Legal business name | Larson, Bradly Kendall |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2014 |
| Last updated | Aug 1st, 2014 - about 12 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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