Larson, Trevor Joe

Larson, Trevor Joe is an individual health care provider with primary practice located at 2348 Trident Way , San Diego CA 92155-5508. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Larson, Trevor Joe can be contacted via phone (808) 285-7857.

Contact Information

Primary practice address
2348 Trident Way San Diego CA 92155-5508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X California

Profile Details

NPI number 1780127571
LBN Legal business name Larson, Trevor Joe
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2016
Last updated Nov 28th, 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.

Request for update

Popular Providers