Larson, Christopher W
Larson, Christopher W is an individual health care provider with primary practice located at 9040 Jackson Avenue , Tacoma WA 98431-5002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Larson, Christopher W can be contacted via phone (253) 968-1110.Contact Information
Primary practice address
9040 Jackson Avenue
Tacoma WA 98431-5002
Phone: (253) 968-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 858 | Nebraska |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 858 | Nebraska |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5101022214 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OP61203154 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 05-48718 | Kansas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | OP61203154 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 858 | Nebraska |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | R4732 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 5101022214 | Michigan |
Profile Details
| NPI number | 1467773952 |
|---|---|
| LBN Legal business name | Larson, Christopher W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2010 |
| Last updated | Jul 8th, 2024 - about 2 months 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 | 1467773952 | NPPES |
| Kansas | MEDICAID | 30005055110001 |
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