Head, Larissa L
Head, Larissa L is an sole proprietor health care provider with primary practice located at 4659 Blackburn Ave , Portage MI 49024-3045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Head, Larissa L can be contacted via phone (989) 327-7920.Contact Information
Primary practice address
4659 Blackburn Ave
Portage MI 49024-3045
Phone: (989) 327-7920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 7501001123 | Michigan |
Profile Details
| NPI number | 1740879147 |
|---|---|
| LBN Legal business name | Head, Larissa L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2021 |
| Last updated | Jan 12th, 2021 - about 4 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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