Larsen, Edwin K
Larsen, Edwin K is an individual health care provider with primary practice located at 1737 First St , Napa CA 94559. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Larsen, Edwin K can be contacted via phone (707) 226-5446.Contact Information
Primary practice address
1737 First St
Napa CA 94559
Phone: (707) 226-5446
Fax: (707) 226-3772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT 105050 TPA | California |
Profile Details
| NPI number | 1720154339 |
|---|---|
| LBN Legal business name | Larsen, Edwin K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jan 25th, 2012 - about 12 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 | 1720154339 | NPPES |
| California | MEDICAID | SD01015051 |
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