Larson, David Kent
Larson, David Kent is an individual health care provider with primary practice located at 2000 South Main Street Ste C, Fairfield IA 52556-3739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Larson, David Kent can be contacted via phone (641) 472-4141.Contact Information
Primary practice address
2000 South Main Street Ste C
Fairfield IA 52556-3739
Phone: (641) 472-4141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26783 | Iowa |
Profile Details
| NPI number | 1891803508 |
|---|---|
| LBN Legal business name | Larson, David Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 22nd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891803508 | NPPES |
| Iowa | MEDICAID | 0043570 |
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