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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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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