Larsen, Marc Devries

Larsen, Marc Devries is an individual health care provider with primary practice located at 4401 Wornall Rd , Kansas City MO 64111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Larsen, Marc Devries can be contacted via phone (816) 932-2047.

Contact Information

Primary practice address
4401 Wornall Rd Kansas City MO 64111
Phone: (816) 932-2047
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2006010971 Missouri

Profile Details

NPI number 1144236159
LBN Legal business name Larsen, Marc Devries
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 3rd, 2008 - about 16 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 1144236159 NPPES
Other 37548019 BCBS
Other P00393448 BCBS

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