Larson, James Lionel
Larson, James Lionel is an sole proprietor health care provider with primary practice located at 1543 Kingsley Ave Bldg 14, Orange Park FL 32073-4535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Larson, James Lionel can be contacted via phone (904) 264-6977.Contact Information
Primary practice address
1543 Kingsley Ave Bldg 14
Orange Park FL 32073-4535
Phone: (904) 264-6977
Fax: (904) 269-0870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME20170 | Florida |
Profile Details
| NPI number | 1023043262 |
|---|---|
| LBN Legal business name | Larson, James Lionel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023043262 | NPPES |
| Florida | MEDICAID | 0671240000 |
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