Larson, Charles E
Larson, Charles E is an sole proprietor health care provider with primary practice located at Flci W10237 Lake Emily Rd, Fox Lake WI 54935-8525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Larson, Charles E can be contacted via phone (920) 928-6958.Contact Information
Primary practice address
Flci W10237 Lake Emily Rd
Fox Lake WI 54935-8525
Phone: (920) 928-6958
Fax: (920) 928-6951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 26821 | Wisconsin |
Profile Details
| NPI number | 1184768129 |
|---|---|
| LBN Legal business name | Larson, Charles E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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