Larsen, Alicia Marie
Larsen, Alicia Marie is an sole proprietor health care provider with primary practice located at 140 Washington St , Geneva NY 14456-2839. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Larsen, Alicia Marie can be contacted via phone (315) 789-7922.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 031238 | New York |
Profile Details
| NPI number | 1265165054 |
|---|---|
| LBN Legal business name | Larsen, Alicia Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2022 |
| Last updated | Jul 8th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265165054 | NPPES |
| New York | MEDICAID | 031238 |
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