Larsen, Eugene Douglas
Larsen, Eugene Douglas is an sole proprietor health care provider with primary practice located at 280 N Hospital Dr Ste 4 , Price UT 84501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Larsen, Eugene Douglas can be contacted via phone (435) 637-5690.Contact Information
Primary practice address
280 N Hospital Dr Ste 4
Price UT 84501
Phone: (435) 637-5690
Fax: (435) 637-9809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9336977-1204 | Utah |
Profile Details
| NPI number | 1447513221 |
|---|---|
| LBN Legal business name | Larsen, Eugene Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Aug 22nd, 2018 - about 7 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 | 1447513221 | NPPES |
| Utah | MEDICAID | 1447513221 |
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