Mowatt-Larssen, Eric

Mowatt-Larssen, Eric is an individual health care provider with primary practice located at 977 Pacific St Ste B , Monterey CA 93940-4400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Mowatt-Larssen, Eric can be contacted via phone (831) 646-8346.

Contact Information

Primary practice address
977 Pacific St Ste B Monterey CA 93940-4400
Phone: (831) 646-8346
Fax: (831) 646-8346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101230922 Virginia
Allopathic & Osteopathic Physicians / Phlebology 202K00000X C55209 California

Profile Details

NPI number 1487699013
LBN Legal business name Mowatt-Larssen, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Feb 24th, 2021 - about 3 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 1487699013 NPPES
Virginia Other 235963 BLUE SHIELD
Virginia MEDICAID 5861047 BLUE SHIELD
Virginia MEDICAID 5910835 BLUE SHIELD
Virginia Other 930107776 BLUE SHIELD

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