Larkin, Stephen Grant

Larkin, Stephen Grant is an individual health care provider with primary practice located at 6092 Park Rd , Fort Myers FL 33908-4627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Larkin, Stephen Grant can be contacted via phone (239) 267-2521.

Contact Information

Primary practice address
6092 Park Rd Fort Myers FL 33908-4627
Phone: (239) 267-2521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD033554E Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME46483 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD033554E Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0046483 Florida

Profile Details

NPI number 1114918174
LBN Legal business name Larkin, Stephen Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Sep 22nd, 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 1114918174 NPPES
Pennsylvania Other 143565 BLUECROSSBLUESHIELD
Pennsylvania MEDICAID 272385900 BLUECROSSBLUESHIELD
Pennsylvania Other 04306 BLUECROSSBLUESHIELD
Pennsylvania Other 219102 BLUECROSSBLUESHIELD
Pennsylvania MEDICAID 00010066900002 BLUECROSSBLUESHIELD

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