Larsen, Eric C
Larsen, Eric C is an individual health care provider with primary practice located at 100 Campus Dr Unit 107, Scarborough ME 04074-9692. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Larsen, Eric C can be contacted via phone (207) 885-7565.Contact Information
Primary practice address
100 Campus Dr Unit 107
Scarborough ME 04074-9692
Phone: (207) 885-7565
Fax: (207) 885-7577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD16882 | Maine |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD16882 | Maine |
Profile Details
| NPI number | 1548299548 |
|---|---|
| LBN Legal business name | Larsen, Eric C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Apr 26th, 2017 - about 8 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 | 1548299548 | NPPES |
| New Hampshire | MEDICAID | 30003473 | |
| New Hampshire | MEDICAID | 431781999 |
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