Larson, Craig W

Larson, Craig W is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larson, Craig W can be contacted via phone (319) 353-6378.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 353-6378
Fax: (319) 356-3891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000660 Iowa

Profile Details

NPI number 1912990128
LBN Legal business name Larson, Craig W
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 12th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912990128 NPPES
Iowa Other 14973 WELLMARK BCBS

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