Larson, Heidi M
Larson, Heidi M is an sole proprietor health care provider with primary practice located at 2 Great Falls Plz Ste 21 , Auburn ME 04210-5966. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Larson, Heidi M can be contacted via phone (207) 330-3950.Contact Information
Primary practice address
2 Great Falls Plz Ste 21
Auburn ME 04210-5966
Phone: (207) 330-3950
Fax: (207) 330-3955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD14388 | Maine |
Profile Details
| NPI number | 1780799437 |
|---|---|
| LBN Legal business name | Larson, Heidi M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jun 11th, 2020 - about 5 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 | 1780799437 | NPPES |
| Maine | Other | 046529 | ANTHEM |
| Maine | MEDICAID | 3 5150000 | ANTHEM |
| Maine | Other | 5904624 | ANTHEM |
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