Larson, Derian

Larson, Derian is an individual health care provider with primary practice located at 2701 9Th Ave S Ste E , Fargo ND 58103-8712. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Larson, Derian can be contacted via phone (701) 223-2417.

Contact Information

Primary practice address
2701 9Th Ave S Ste E Fargo ND 58103-8712
Fax:
Website:

Health care specialties

Profile Details

NPI number 1932781713
LBN Legal business name Larson, Derian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2021
Last updated Jul 21st, 2021 - about 3 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 1932781713 NPPES
North Dakota MEDICAID 1482214

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