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Contact Information

ERIC J LARSON, EL CADC BS
109 E EUREKA
EUREKA, IL61530
 Phone: 309-467-3770
 Fax: 309-467-5356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ERIC J LARSON · (Male)

NPI Number 1326003344
Status Active
Credentials EL CADC BS
Entity Individual
Enumeration date 04/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 14471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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