Larson, Brian Edward

Larson, Brian Edward is an individual health care provider with primary practice located at 189 S Binkley St Suite 101, Soldotna AK 99669-8007. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Larson, Brian Edward can be contacted via phone (907) 262-0801.

Contact Information

Primary practice address
189 S Binkley St Suite 101 Soldotna AK 99669-8007
Phone: (907) 262-0801
Fax: (907) 262-0860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 396 Alaska

Profile Details

NPI number 1952473415
LBN Legal business name Larson, Brian Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 28th, 2013 - about 12 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 1952473415 NPPES
Alaska MEDICAID CH0070

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