Larsen, Robert Glen

Larsen, Robert Glen is an sole proprietor health care provider with primary practice located at 7411 263Rd St Apt A1 , Glen Oaks NY 11004-1161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Larsen, Robert Glen can be contacted via phone (503) 330-6123.

Contact Information

Primary practice address
7411 263Rd St Apt A1 Glen Oaks NY 11004-1161
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 60-258701 New York

Profile Details

NPI number 1790095032
LBN Legal business name Larsen, Robert Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2010
Last updated Oct 20th, 2010 - about 14 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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