Larson, Frank Andrus

Larson, Frank Andrus is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Larson, Frank Andrus can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD17655 Oregon

Profile Details

NPI number 1659355220
LBN Legal business name Larson, Frank Andrus
Credentials MD FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Mar 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659355220 NPPES
Oregon Other P00143341 RR MEDICARE PTAN NUMBER
Oregon Other CB3544 RR MEDICARE PTAN NUMBER
Oregon Other 1407812365 RR MEDICARE PTAN NUMBER
Oregon MEDICAID 041629 RR MEDICARE PTAN NUMBER
Oregon Other R0000WFBTV RR MEDICARE PTAN NUMBER

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