Larsen, Keith David
Larsen, Keith David is an sole proprietor health care provider with primary practice located at 3239 Independence Rd , Canon City CO 81212-9380. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Larsen, Keith David can be contacted via phone (719) 275-7650.Contact Information
Primary practice address
3239 Independence Rd
Canon City CO 81212-9380
Phone: (719) 275-7650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1679092167 |
|---|---|
| LBN Legal business name | Larsen, Keith David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2017 |
| Last updated | Sep 15th, 2017 - about 7 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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