Larson, Brian J

Larson, Brian J is an individual health care provider with primary practice located at 3485 Independence Dr , Homewood AL 35209-5603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Larson, Brian J can be contacted via phone (205) 414-4402.

Contact Information

Primary practice address
3485 Independence Dr Homewood AL 35209-5603
Phone: (205) 414-4402
Fax: (205) 414-4425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 11787 Alabama

Profile Details

NPI number 1861498370
LBN Legal business name Larson, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Sep 28th, 2009 - about 17 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 1861498370 NPPES
Alabama Other 0366100001 MC NSC
Alabama Other P00462711 MC NSC
Alabama Other 0366100001 MC NSC

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