Larsen, Murray I
Larsen, Murray I is an sole proprietor health care provider with primary practice located at 625 6Th St , Clarkston WA 99403-2010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Larsen, Murray I can be contacted via phone (509) 758-2200.Contact Information
Primary practice address
625 6Th St
Clarkston WA 99403-2010
Phone: (509) 758-2200
Fax: (509) 758-6511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00029346 | Washington |
Profile Details
| NPI number | 1568451102 |
|---|---|
| LBN Legal business name | Larsen, Murray I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jan 29th, 2024 - about last year |
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 | 1568451102 | NPPES |
| Idaho | MEDICAID | 0027334 | |
| Idaho | MEDICAID | 2039081 |
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