Larson, Jon Philip
Larson, Jon Philip is an individual health care provider with primary practice located at 497 Cincinnati Batavia Pike , Cincinnati OH 45244-4212. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Larson, Jon Philip can be contacted via phone (513) 528-1223.Contact Information
Primary practice address
497 Cincinnati Batavia Pike
Cincinnati OH 45244-4212
Phone: (513) 528-1223
Fax: (513) 328-6123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30-01-3524 | Ohio |
Profile Details
| NPI number | 1912908542 |
|---|---|
| LBN Legal business name | Larson, Jon Philip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| 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 | 1912908542 | NPPES |
| Ohio | MEDICAID | 0211765 |
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