Larson, Ellen M
Larson, Ellen M is an individual health care provider with primary practice located at 140 Broad St , Hamilton NY 13346-9575. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Larson, Ellen M can be contacted via phone (315) 228-7750.Contact Information
Primary practice address
140 Broad St
Hamilton NY 13346-9575
Phone: (315) 228-7750
Fax: (315) 228-6823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 217285 | New York |
Profile Details
| NPI number | 1629029442 |
|---|---|
| LBN Legal business name | Larson, Ellen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1629029442 | NPPES |
| New York | MEDICAID | 02194558 |
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