Swanson, Lars V

Swanson, Lars V is an individual health care provider with primary practice located at 2725 Jackson St , Oshkosh WI 54901-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Swanson, Lars V can be contacted via phone (920) 223-7600.

Contact Information

Primary practice address
2725 Jackson St Oshkosh WI 54901-1513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44250 Wisconsin

Profile Details

NPI number 1457346686
LBN Legal business name Swanson, Lars V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jun 17th, 2008 - about 17 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 1457346686 NPPES
Wisconsin MEDICAID 34213000

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