Larson, Jeffrey D.

Larson, Jeffrey D. is an individual health care provider with primary practice located at 6408 Copps Ave , Monona WI 53716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Larson, Jeffrey D. can be contacted via phone (608) 417-6175.

Contact Information

Primary practice address
6408 Copps Ave Monona WI 53716
Phone: (608) 417-6175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 50808-20 Wisconsin

Profile Details

NPI number 1144266479
LBN Legal business name Larson, Jeffrey D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 30th, 2019 - about 7 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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