Larson, David E.
Larson, David E. is an individual health care provider with primary practice located at 1120 N Marr Rd , Columbus IN 47201-5505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Larson, David E. can be contacted via phone (812) 376-9219.Contact Information
Primary practice address
1120 N Marr Rd
Columbus IN 47201-5505
Phone: (812) 376-9219
Fax: (812) 378-4821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1023925 | Indiana |
Profile Details
| NPI number | 1477581528 |
|---|---|
| LBN Legal business name | Larson, David E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Dec 17th, 2012 - about 14 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 | 1477581528 | NPPES |
| Indiana | MEDICAID | 100358610 |
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