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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1144340712 NPPES
Vermont MEDICAID 1017931
Vermont MEDICAID 3075442

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