Altman, Larisa

Altman, Larisa is an individual health care provider with primary practice located at 271 Carew St , Springfield MA 01104-2377. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Altman, Larisa can be contacted via phone (413) 748-9349.

Contact Information

Primary practice address
271 Carew St Springfield MA 01104-2377
Phone: (413) 748-9349
Fax: (413) 794-1629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002903 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN169231 Massachusetts

Profile Details

NPI number 1093917213
LBN Legal business name Altman, Larisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jun 14th, 2019 - about 5 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 1093917213 NPPES
Connecticut MEDICAID 004029039
Connecticut MEDICAID 110080335A

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