Larson, Nicole Elizabeth
Larson, Nicole Elizabeth is an sole proprietor health care provider with primary practice located at 2430 Oka St Ste B , Kilauea HI 96754-5332. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Larson, Nicole Elizabeth can be contacted via phone (808) 828-0030.Contact Information
Primary practice address
2430 Oka St Ste B
Kilauea HI 96754-5332
Phone: (808) 828-0030
Fax: (808) 977-7769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAT15434 | Hawaii |
Profile Details
| NPI number | 1154929198 |
|---|---|
| LBN Legal business name | Larson, Nicole Elizabeth |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2020 |
| Last updated | Aug 12th, 2022 - about 3 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 | 1154929198 | NPPES |
| Hawaii | Other | MAT15434 | DCCA |
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