Larson, Royce R
Larson, Royce R is an individual health care provider with primary practice located at 1900 Cooks Hill Rd , Centralia WA 98531-9073. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Larson, Royce R can be contacted via phone (360) 330-8627.Contact Information
Primary practice address
1900 Cooks Hill Rd
Centralia WA 98531-9073
Phone: (360) 330-8627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002427 | Washington |
Profile Details
| NPI number | 1356400816 |
|---|---|
| LBN Legal business name | Larson, Royce R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| 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 | 1356400816 | NPPES |
| Washington | Other | LA0611 | REGENCE |
| Washington | MEDICAID | 8340929 | REGENCE |
| Washington | Other | 69841 | REGENCE |
| Washington | Other | PT00002427 | REGENCE |
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