Larson, Jeffrey A

Larson, Jeffrey A is an individual health care provider with primary practice located at 720 Birchwood Ave , Bellingham WA 98225-1714. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larson, Jeffrey A can be contacted via phone (360) 733-1720.

Contact Information

Primary practice address
720 Birchwood Ave Bellingham WA 98225-1714
Phone: (360) 733-1720
Fax: (360) 733-0109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1377TX Washington

Profile Details

NPI number 1740318518
LBN Legal business name Larson, Jeffrey A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated May 14th, 2014 - about 11 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 1740318518 NPPES
Washington Other DH0545 RAILROAD MEDICARE
Washington MEDICAID 2027829 RAILROAD MEDICARE

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