Mowatt-Larssen, Eric
Mowatt-Larssen, Eric is an individual health care provider with primary practice located at 977 Pacific St Ste B , Monterey CA 93940-4400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Mowatt-Larssen, Eric can be contacted via phone (831) 646-8346.Contact Information
Primary practice address
977 Pacific St Ste B
Monterey CA 93940-4400
Phone: (831) 646-8346
Fax: (831) 646-8346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101230922 | Virginia |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | C55209 | California |
Profile Details
| NPI number | 1487699013 |
|---|---|
| LBN Legal business name | Mowatt-Larssen, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Feb 24th, 2021 - about 5 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 | 1487699013 | NPPES |
| Virginia | Other | 235963 | BLUE SHIELD |
| Virginia | MEDICAID | 5861047 | BLUE SHIELD |
| Virginia | MEDICAID | 5910835 | BLUE SHIELD |
| Virginia | Other | 930107776 | BLUE SHIELD |
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