Larson, Jean E
Larson, Jean E is an individual health care provider with primary practice located at 2405 Osler Ct Meredyth Professional Plaza, Albany GA 31707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larson, Jean E can be contacted via phone (229) 435-1458.Contact Information
Primary practice address
2405 Osler Ct Meredyth Professional Plaza
Albany GA 31707
Phone: (229) 435-1458
Fax: (229) 317-2342
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | GA4044 | Georgia |
Profile Details
NPI number | 1295836732 |
---|---|
LBN Legal business name | Larson, Jean E |
Credentials | PA C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Nov 4th, 2010 - about 14 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 | 1295836732 | NPPES |
Georgia | MEDICAID | 671629810B |
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