Larson, John R

Larson, John R is an individual health care provider with primary practice located at 1215 Sidney St Suite 203, Batesville AR 72501-7203. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Larson, John R can be contacted via phone (870) 262-6155.

Contact Information

Primary practice address
1215 Sidney St Suite 203 Batesville AR 72501-7203
Phone: (870) 262-6155
Fax: (870) 262-6152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X E7818 Arkansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E-7818 Arkansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X E7818 Arkansas

Profile Details

NPI number 1104864354
LBN Legal business name Larson, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 14th, 2024 - about last year

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 1104864354 NPPES
Arkansas Other E-7818 STATE LICENSE
Arkansas Other 51281 STATE LICENSE
Arkansas MEDICAID 195965001 STATE LICENSE
Arkansas Other 264659YMPR STATE LICENSE

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