Larson, Greg R.
Larson, Greg R. is an sole proprietor health care provider with primary practice located at 13161 Black Mountain Rd Ste 2 , San Diego CA 92129-2685. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Larson, Greg R. can be contacted via phone (858) 538-8404.Contact Information
Primary practice address
13161 Black Mountain Rd Ste 2
San Diego CA 92129-2685
Phone: (858) 538-8404
Fax: (858) 538-0456
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | DC 17734 | California |
Chiropractic Providers / Sports Physician | 111NS0005X | DC 17734 | California |
Profile Details
NPI number | 1629152319 |
---|---|
LBN Legal business name | Larson, Greg R. |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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