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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356312532 | NPPES |
| California | Other | PT 23727 | PT STATE LICENSE |
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