Larson, Eric Windsor

Larson, Eric Windsor is an sole proprietor health care provider with primary practice located at 580 Uss Mariano G Vallejo Ave Nssc Medical Kings Bay, Kings Bay GA 31547. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Larson, Eric Windsor can be contacted via phone (912) 573-2939.

Contact Information

Primary practice address
580 Uss Mariano G Vallejo Ave Nssc Medical Kings Bay Kings Bay GA 31547
Phone: (912) 573-2939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1578592838
LBN Legal business name Larson, Eric Windsor
Credentials SUBMARINE IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Sep 19th, 2008 - about 16 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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