Larson, Amy L
Larson, Amy L is an individual health care provider with primary practice located at 1400 Lombardi Ave Suite 50, Green Bay WI 54304-3922. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Larson, Amy L can be contacted via phone (920) 498-8877.Contact Information
Primary practice address
1400 Lombardi Ave Suite 50
Green Bay WI 54304-3922
Phone: (920) 498-8877
Fax: (920) 498-8941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 4743 | Wisconsin |
Profile Details
| NPI number | 1720119845 |
|---|---|
| LBN Legal business name | Larson, Amy L |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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