Larsen, Michael

Larsen, Michael is an sole proprietor health care provider with primary practice located at 11019 Dove Tail Ter , San Diego CA 92128-4019. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as his primary health care specialty. Larsen, Michael can be contacted via phone (858) 231-6603.

Contact Information

Primary practice address
11019 Dove Tail Ter San Diego CA 92128-4019
Phone: (858) 231-6603
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X RHT00045134 California
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 180139 California

Profile Details

NPI number 1134508039
LBN Legal business name Larsen, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2015
Last updated May 25th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134508039 NPPES
California Other UNKNOWN ALTOS GROUP

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