Larsen, Dustin
Larsen, Dustin is an individual health care provider with primary practice located at 2199 N Merrit Crk Loop , Coeur D Alene ID 83814-4949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Larsen, Dustin can be contacted via phone (208) 665-7546.Contact Information
Primary practice address
2199 N Merrit Crk Loop
Coeur D Alene ID 83814-4949
Phone: (208) 665-7546
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M-13761 | Idaho |
Profile Details
| NPI number | 1699194530 |
|---|---|
| LBN Legal business name | Larsen, Dustin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2014 |
| Last updated | Jan 24th, 2020 - about 4 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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