Larson, Eric A
Larson, Eric A is an individual health care provider with primary practice located at 1205 S Grange Ave Ste 510, Sioux Falls SD 57105-0410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Larson, Eric A can be contacted via phone (605) 328-7500.Contact Information
Primary practice address
1205 S Grange Ave Ste 510
Sioux Falls SD 57105-0410
Phone: (605) 328-7500
Fax: (605) 328-7599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4727 | South Dakota |
Profile Details
| NPI number | 1134124019 |
|---|---|
| LBN Legal business name | Larson, Eric A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Feb 3rd, 2022 - 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 | 1134124019 | NPPES |
| South Dakota | MEDICAID | 6003755 |
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