Krusholm, Lars Erik

Krusholm, Lars Erik is an individual health care provider with primary practice located at Medical Dept Uss Kitty Hawk Cv-63, Fpo AP 96634. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Krusholm, Lars Erik can be contacted via phone (901) 855-1755.

Contact Information

Primary practice address
Medical Dept Uss Kitty Hawk Cv-63 Fpo AP 96634
Phone: (901) 855-1755
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 23727 California

Profile Details

NPI number 1356312532
LBN Legal business name Krusholm, Lars Erik
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Apr 20th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356312532 NPPES
California Other PT 23727 PT STATE LICENSE

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