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:
Health care specialties
| Specialty | Code | License # | 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 17 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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