Larson, David Winston
Larson, David Winston is an sole proprietor health care provider with primary practice located at 550 Peachtree Street Suite 1600, Atlanta GA 30308-2209. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Larson, David Winston can be contacted via phone (404) 253-6820.Contact Information
Primary practice address
550 Peachtree Street Suite 1600
Atlanta GA 30308-2209
Phone: (404) 253-6820
Fax: (404) 874-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN165477 | Georgia |
Profile Details
| NPI number | 1962461798 |
|---|---|
| LBN Legal business name | Larson, David Winston |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Nov 6th, 2013 - about 11 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 | 1962461798 | NPPES |
| Georgia | MEDICAID | 095140904 |
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