Larson, Theodore Carl

Larson, Theodore Carl is an individual health care provider with primary practice located at 11750 W 2Nd Pl Suite 255, Lakewood CO 80228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Larson, Theodore Carl can be contacted via phone (720) 321-8040.

Contact Information

Primary practice address
11750 W 2Nd Pl Suite 255 Lakewood CO 80228
Phone: (720) 321-8040
Fax: (720) 321-8041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 44928 Colorado

Profile Details

NPI number 1578663969
LBN Legal business name Larson, Theodore Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 5th, 2018 - about 8 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 1578663969 NPPES
Colorado MEDICAID 4853580

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