Larsen, Michael Paul

Larsen, Michael Paul is an individual health care provider with primary practice located at 59 Auburn St , Auburn MA 01501-2428. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larsen, Michael Paul can be contacted via phone (508) 832-8820.

Contact Information

Primary practice address
59 Auburn St Auburn MA 01501-2428
Fax: (508) 721-5145
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3972 Massachusetts

Profile Details

NPI number 1558415745
LBN Legal business name Larsen, Michael Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 30th, 2010 - about 15 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 1558415745 NPPES
Massachusetts Other W201695 CIGNA
Massachusetts Other 2202752 CIGNA
Massachusetts MEDICAID 0334880 CIGNA
Massachusetts Other 152161 CIGNA
Massachusetts Other W16214 CIGNA
Massachusetts Other 0027653 CIGNA
Massachusetts Other 5393688 CIGNA
Massachusetts Other 973954 CIGNA

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