Larsen, Betty

Larsen, Betty is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larsen, Betty can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10749 Minnesota

Profile Details

NPI number 1679894299
LBN Legal business name Larsen, Betty
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Jul 24th, 2012 - about 12 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 1679894299 NPPES
Minnesota MEDICAID 1679894299

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