Larson, Bruce
Larson, Bruce is an individual health care provider with primary practice located at 126 W First St , Hinsdale IL 60521-4013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Larson, Bruce can be contacted via phone (630) 325-5200.Contact Information
Primary practice address
126 W First St
Hinsdale IL 60521-4013
Phone: (630) 325-5200
Fax: (630) 325-5569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 36066594 | Illinois |
Profile Details
| NPI number | 1932176773 |
|---|---|
| LBN Legal business name | Larson, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 12th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932176773 | NPPES |
| Illinois | Other | L08359 | MEDICARE PTAN |
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