Enevoldsen, Lars Peter

Enevoldsen, Lars Peter is an sole proprietor health care provider with primary practice located at 220 W Orangeburg Ave , Modesto CA 95350-4417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Enevoldsen, Lars Peter can be contacted via phone (209) 524-6204.

Contact Information

Primary practice address
220 W Orangeburg Ave Modesto CA 95350-4417
Phone: (209) 524-6204
Fax: (209) 524-0405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G56199 California

Profile Details

NPI number 1437356235
LBN Legal business name Enevoldsen, Lars Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Jul 8th, 2007 - 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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