Larsen, Matthew F
Larsen, Matthew F is an sole proprietor health care provider with primary practice located at 2001 S Woodruff Ave Ste 9 , Idaho Falls ID 83404-6371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Larsen, Matthew F can be contacted via phone (208) 419-3002.Contact Information
Primary practice address
2001 S Woodruff Ave Ste 9
Idaho Falls ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | O-0856 | Idaho |
Profile Details
NPI number | 1831413681 |
---|---|
LBN Legal business name | Larsen, Matthew F |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 23rd, 2010 |
Last updated | Oct 14th, 2022 - about 2 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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