Larson, Evan
Larson, Evan is an sole proprietor health care provider with primary practice located at 1100 Bridgewood Dr Ste 102 , Fort Worth TX 76112-0808. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Larson, Evan can be contacted via phone (817) 966-7000.Contact Information
Primary practice address
1100 Bridgewood Dr Ste 102
Fort Worth TX 76112-0808
Phone: (817) 966-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1001565 | Texas |
Profile Details
| NPI number | 1376164921 |
|---|---|
| LBN Legal business name | Larson, Evan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2020 |
| Last updated | May 5th, 2020 - about 4 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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