Larson, Michael Stephen
Larson, Michael Stephen is an individual health care provider with primary practice located at 1485 S. M-139 , Benton Harbor MI 49022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Larson, Michael Stephen can be contacted via phone (269) 925-0585.Contact Information
Primary practice address
1485 S. M-139
Benton Harbor MI 49022
Phone: (269) 925-0585
Fax: (269) 925-0070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301077450 | Michigan |
Profile Details
| NPI number | 1992884969 |
|---|---|
| LBN Legal business name | Larson, Michael Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1992884969 | NPPES |
| Michigan | MEDICAID | 4303750 |
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