Larsen, Eric Jacob

Larsen, Eric Jacob is an individual health care provider with primary practice located at 1415 E Kincaid St , Mount Vernon WA 98274-4126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Larsen, Eric Jacob can be contacted via phone (360) 424-4111.

Contact Information

Primary practice address
1415 E Kincaid St Mount Vernon WA 98274-4126
Phone: (360) 424-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60956123 Washington

Profile Details

NPI number 1205490661
LBN Legal business name Larsen, Eric Jacob
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2019
Last updated Oct 6th, 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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