Larsen, Terry Lee
Larsen, Terry Lee is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Larsen, Terry Lee can be contacted via phone (802) 748-8141.Contact Information
Primary practice address
1315 Hospital Dr
St Johnsbury VT 05819-9210
Phone: (802) 748-8141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 032.0066383 | Vermont |
Profile Details
| NPI number | 1144340712 |
|---|---|
| LBN Legal business name | Larsen, Terry Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Feb 13th, 2015 - 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 | 1144340712 | NPPES |
| Vermont | MEDICAID | 1017931 | |
| Vermont | MEDICAID | 3075442 |
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