Larson, Christopher L
Larson, Christopher L is an individual health care provider with primary practice located at 1442 N 31St St , Sheboygan WI 53081-3061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Larson, Christopher L can be contacted via phone (920) 452-5400.Contact Information
Primary practice address
1442 N 31St St
Sheboygan WI 53081-3061
Phone: (920) 452-5400
Fax: (920) 452-1920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 20209020 | Wisconsin |
Profile Details
| NPI number | 1750358693 |
|---|---|
| LBN Legal business name | Larson, Christopher L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | May 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750358693 | NPPES |
| Wisconsin | MEDICAID | 32866800 |
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