Magnussen, Larry Norman

Magnussen, Larry Norman is an individual health care provider with primary practice located at 1 Daniel Burnham Ct Ste 365-C , San Francisco CA 94109-5490. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Magnussen, Larry Norman can be contacted via phone (415) 202-1920.

Contact Information

Primary practice address
1 Daniel Burnham Ct Ste 365-C San Francisco CA 94109-5490
Fax: (415) 922-6344
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X G10995 California

Profile Details

NPI number 1093877896
LBN Legal business name Magnussen, Larry Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 7th, 2023 - about last year

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 1093877896 NPPES
California Other G10995 LICENSE

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