Larson, John Jeffrey

Larson, John Jeffrey is an individual health care provider with primary practice located at 6701 N Jean Nicolet Rd , Milwaukee WI 53217-3701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Larson, John Jeffrey can be contacted via phone (414) 351-8154.

Contact Information

Primary practice address
6701 N Jean Nicolet Rd Milwaukee WI 53217-3701
Phone: (414) 351-8154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 205-039 Wisconsin

Profile Details

NPI number 1487606679
LBN Legal business name Larson, John Jeffrey
Credentials LAT, ATC,CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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