Larson, Eric M

Larson, Eric M is an individual health care provider with primary practice located at 1885 West Pointe Dr , Oshkosh WI 54902-4174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Larson, Eric M can be contacted via phone (920) 232-6550.

Contact Information

Primary practice address
1885 West Pointe Dr Oshkosh WI 54902-4174
Phone: (920) 232-6550
Fax: (920) 232-6552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 45716 Wisconsin

Profile Details

NPI number 1275513467
LBN Legal business name Larson, Eric M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 16th, 2013 - about 12 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 1275513467 NPPES
Wisconsin MEDICAID 34413200

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