Larson, Boyd Eric
Larson, Boyd Eric is an individual health care provider with primary practice located at 740 S Woodruff Ave , Idaho Falls ID 83401-5285. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Larson, Boyd Eric can be contacted via phone (208) 542-9111.Contact Information
Primary practice address
740 S Woodruff Ave
Idaho Falls ID 83401-5285
Phone: (208) 542-9111
Fax: (208) 542-9114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ML1456587 | Idaho |
Profile Details
| NPI number | 1245310846 |
|---|---|
| LBN Legal business name | Larson, Boyd Eric |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Feb 10th, 2010 - about 14 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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