Larsen, Elizabeth A

Larsen, Elizabeth A is an sole proprietor health care provider with primary practice located at 1900 8Th Ave Se , Minot ND 58701-4935. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larsen, Elizabeth A can be contacted via phone (701) 857-5998.

Contact Information

Primary practice address
1900 8Th Ave Se Minot ND 58701-4935
Fax: (701) 857-5022
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1853 North Dakota

Profile Details

NPI number 1174603856
LBN Legal business name Larsen, Elizabeth A
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Dec 28th, 2023 - about last year

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 1174603856 NPPES
North Dakota MEDICAID 19101

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