Larson, Jason D

Larson, Jason D is an individual health care provider with primary practice located at 2211 Route 88 E , Brick NJ 08724-3229. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Larson, Jason D can be contacted via phone (732) 899-0015.

Contact Information

Primary practice address
2211 Route 88 E Brick NJ 08724-3229
Phone: (732) 899-0015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD002476 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD002476 New Jersey

Profile Details

NPI number 1215905203
LBN Legal business name Larson, Jason D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215905203 NPPES
New Jersey Other P00139128 RAILROAD
New Jersey Other P1134870 RAILROAD
New Jersey Other 2K5453 RAILROAD
New Jersey Other 1088552 RAILROAD
New Jersey MEDICAID 9112600 RAILROAD

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