Larsen, Mette
Larsen, Mette is an sole proprietor health care provider with primary practice located at 2248 Roanoke Ave , Riverhead NY 11901-1822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Larsen, Mette can be contacted via phone (917) 572-9745.Contact Information
Primary practice address
2248 Roanoke Ave
Riverhead NY 11901-1822
Phone: (917) 572-9745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200286 | New York |
Profile Details
| NPI number | 1205947074 |
|---|---|
| LBN Legal business name | Larsen, Mette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 20th, 2016 - about 9 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 | 1205947074 | NPPES |
| New York | MEDICAID | 01623418 |
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