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
Phone: (503) 330-6123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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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