Larson, Michael

Larson, Michael is an sole proprietor health care provider with primary practice located at 2000 Orchard Rd , Montgomery IL 60538-1028. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Larson, Michael can be contacted via phone (630) 844-3509.

Contact Information

Primary practice address
2000 Orchard Rd Montgomery IL 60538-1028
Phone: (630) 844-3509
Fax: (630) 844-3512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051026221 Illinois

Profile Details

NPI number 1235730292
LBN Legal business name Larson, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2020
Last updated Nov 5th, 2020 - about 5 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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