Larson, Bruce Davin
Larson, Bruce Davin is an individual health care provider with primary practice located at 10200 Ne 132Nd St , Kirkland WA 98034-2831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Larson, Bruce Davin can be contacted via phone (425) 821-2000.Contact Information
Primary practice address
10200 Ne 132Nd St
Kirkland WA 98034-2831
Phone: (425) 821-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00044773 | Washington |
Profile Details
| NPI number | 1003823840 |
|---|---|
| LBN Legal business name | Larson, Bruce Davin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1003823840 | NPPES |
| Washington | MEDICAID | 8438137 |
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