Larson, Jerome Allen

Larson, Jerome Allen is an sole proprietor health care provider with primary practice located at 3090 N 53Rd St , Milwaukee WI 53210-1617. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Larson, Jerome Allen can be contacted via phone (414) 254-4291.

Contact Information

Primary practice address
3090 N 53Rd St Milwaukee WI 53210-1617
Phone: (414) 254-4291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1063055192
LBN Legal business name Larson, Jerome Allen
Credentials PSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2019
Last updated Oct 22nd, 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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