Larson, William David

Larson, William David is an sole proprietor health care provider with primary practice located at 350 South Crag Rd. , Panama City FL 32407-7013. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Larson, William David can be contacted via phone (850) 235-5218.

Contact Information

Primary practice address
350 South Crag Rd. Panama City FL 32407-7013
Phone: (850) 235-5218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1952555922
LBN Legal business name Larson, William David
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2008
Last updated Nov 4th, 2008 - 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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