Larson, Thomas J
Larson, Thomas J is an sole proprietor health care provider with primary practice located at 512 Saybrook Rd Suite 100, Middletown CT 06457-4788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Larson, Thomas J can be contacted via phone (860) 347-7636.Contact Information
Primary practice address
512 Saybrook Rd Suite 100
Middletown CT 06457-4788
Phone: (860) 347-7636
Fax: (860) 894-1882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 042136 | Connecticut |
Profile Details
| NPI number | 1588747349 |
|---|---|
| LBN Legal business name | Larson, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jan 11th, 2010 - about 14 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 | 1588747349 | NPPES |
| Connecticut | MEDICAID | 001421362 |
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