Larson, David E

Larson, David E is an individual health care provider with primary practice located at 63 Melcher St Ste 100 , Boston MA 02210-1534. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Larson, David E can be contacted via phone (617) 536-1161.

Contact Information

Primary practice address
63 Melcher St Ste 100 Boston MA 02210-1534
Phone: (617) 536-1161
Fax: (617) 536-1165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12053 Massachusetts

Profile Details

NPI number 1740288927
LBN Legal business name Larson, David E
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 5th, 2022 - about 2 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 1740288927 NPPES
Massachusetts Other AA 27096 HARVARD PILGRIM GROUP #
Massachusetts Other Y67685 HARVARD PILGRIM GROUP #

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