Larson, Stephen Joseph

Larson, Stephen Joseph is an individual health care provider with primary practice located at 612 Rockdale Ave , Cincinnati OH 45229-2919. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Larson, Stephen Joseph can be contacted via phone (513) 352-4072.

Contact Information

Primary practice address
612 Rockdale Ave Cincinnati OH 45229-2919
Phone: (513) 352-4072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 30022411 Ohio

Profile Details

NPI number 1033276357
LBN Legal business name Larson, Stephen Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1033276357 NPPES
Ohio MEDICAID 2679981

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