Larson, Adam Sigurd
Larson, Adam Sigurd is an individual health care provider with primary practice located at 158 Hawthorne Dr 17D, New London CT 06320-4007. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Larson, Adam Sigurd can be contacted via phone (920) 562-0770.Contact Information
Primary practice address
158 Hawthorne Dr 17D
New London CT 06320-4007
Phone: (920) 562-0770
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
NPI number | 1528512175 |
---|---|
LBN Legal business name | Larson, Adam Sigurd |
Credentials | IDC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2016 |
Last updated | Aug 12th, 2016 - about 9 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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