Lundstrom, Lars Evert

Lundstrom, Lars Evert is an individual health care provider with primary practice located at 2686 Johnson Dr Suite 104, Ventura CA 93003-7207. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lundstrom, Lars Evert can be contacted via phone (805) 654-1432.

Contact Information

Primary practice address
2686 Johnson Dr Suite 104 Ventura CA 93003-7207
Phone: (805) 654-1432
Fax: (805) 654-1442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 19200 California

Profile Details

NPI number 1114908910
LBN Legal business name Lundstrom, Lars Evert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114908910 NPPES
California MEDICAID DC0192000

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