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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578663969 | NPPES |
| Colorado | MEDICAID | 4853580 |
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