Larson, Alisha Marie
Larson, Alisha Marie is an individual health care provider with primary practice located at 29 Black Coal Drive , Fort Washakie WY 82514. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Larson, Alisha Marie can be contacted via phone (307) 332-3527.Contact Information
Primary practice address
29 Black Coal Drive
Fort Washakie WY 82514
Phone: (307) 332-3527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 747 | Wyoming |
Profile Details
| NPI number | 1780842526 |
|---|---|
| LBN Legal business name | Larson, Alisha Marie |
| Credentials | RDH BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | May 29th, 2008 - about 17 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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