Larson, Timothy A
Larson, Timothy A is an sole proprietor health care provider with primary practice located at 11 N. Main St. , Omak WA 98841. 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, Timothy A can be contacted via phone (509) 826-9533.Contact Information
Primary practice address
11 N. Main St.
Omak WA 98841
Phone: (509) 826-9533
Fax: (509) 826-1152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00006179 | Washington |
Profile Details
| NPI number | 1093715377 |
|---|---|
| LBN Legal business name | Larson, Timothy A |
| Credentials | MAPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Sep 26th, 2016 - about 8 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 | 1093715377 | NPPES |
| Washington | Other | 1093715377 | NPI |
| Washington | MEDICAID | 7081896 | NPI |
| Washington | Other | GAB00169 | NPI |
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