Larson, Jacob
Larson, Jacob is an individual health care provider with primary practice located at 1992 W Antelope Dr Suite 1-D, Layton UT 84041-4953. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Larson, Jacob can be contacted via phone (801) 773-2633.Contact Information
Primary practice address
1992 W Antelope Dr Suite 1-D
Layton UT 84041-4953
Phone: (801) 773-2633
Fax: (801) 773-1553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 9829767-4201 | Utah |
Profile Details
| NPI number | 1538615943 |
|---|---|
| LBN Legal business name | Larson, Jacob |
| Credentials | OTD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2016 |
| Last updated | Aug 27th, 2016 - about 9 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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