Larson, Robert E
Larson, Robert E is an individual health care provider with primary practice located at 2700 Medical Office Pl , Goldsboro NC 27534-9460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Larson, Robert E can be contacted via phone (919) 734-1866.Contact Information
Primary practice address
2700 Medical Office Pl
Goldsboro NC 27534-9460
Phone: (919) 734-1866
Fax: (919) 736-1804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 9700316 | North Carolina |
Profile Details
| NPI number | 1285696930 |
|---|---|
| LBN Legal business name | Larson, Robert E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 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 | 1285696930 | NPPES |
| North Carolina | MEDICAID | 891114A | |
| North Carolina | Other | 02898 | |
| North Carolina | Other | 1114A | |
| North Carolina | Other | 1114A |
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