Larson, Amy Jeannette

Larson, Amy Jeannette is an sole proprietor health care provider with primary practice located at 2930 Bush Mountain Ct Sw , Tumwater WA 98512-6731. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Larson, Amy Jeannette can be contacted via phone (360) 352-7856.

Contact Information

Primary practice address
2930 Bush Mountain Ct Sw Tumwater WA 98512-6731
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00039071 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00039071 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00039071 Washington

Profile Details

NPI number 1043356819
LBN Legal business name Larson, Amy Jeannette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 9th, 2019 - about 5 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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