Larsen, Jacquelyn K
Larsen, Jacquelyn K is an individual health care provider with primary practice located at 6000 University Ave Suite 200, West Des Moines IA 50266-8203. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Larsen, Jacquelyn K can be contacted via phone (515) 241-2300.Contact Information
Primary practice address
6000 University Ave Suite 200
West Des Moines IA 50266-8203
Phone: (515) 241-2300
Fax: (515) 241-2305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00558 | Iowa |
Profile Details
| NPI number | 1598731986 |
|---|---|
| LBN Legal business name | Larsen, Jacquelyn K |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Feb 23rd, 2010 - about 15 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 | 1598731986 | NPPES |
| Iowa | Other | 680012217 | RR MEDICARE |
| Iowa | MEDICAID | 1598731986 | RR MEDICARE |
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