Magnussen, Larry Norman
Magnussen, Larry Norman is an individual health care provider with primary practice located at 1 Daniel Burnham Ct Ste 365-C , San Francisco CA 94109-5490. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Magnussen, Larry Norman can be contacted via phone (415) 202-1920.Contact Information
Primary practice address
1 Daniel Burnham Ct Ste 365-C
San Francisco CA 94109-5490
Phone: (415) 202-1920
Fax: (415) 922-6344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | G10995 | California |
Profile Details
| NPI number | 1093877896 |
|---|---|
| LBN Legal business name | Magnussen, Larry Norman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1093877896 | NPPES |
| California | Other | G10995 | LICENSE |
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