Larson, Jeanne N
Larson, Jeanne N is an individual health care provider with primary practice located at 1 Kacey Ct Suite 101, Mechanicsburg PA 17055-9223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Larson, Jeanne N can be contacted via phone (717) 591-0961.Contact Information
Primary practice address
1 Kacey Ct Suite 101
Mechanicsburg PA 17055-9223
Phone: (717) 591-0961
Fax: (717) 591-0980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD427429 | Pennsylvania |
Profile Details
| NPI number | 1144216268 |
|---|---|
| LBN Legal business name | Larson, Jeanne N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Sep 15th, 2009 - about 15 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 | 1144216268 | NPPES |
| Pennsylvania | MEDICAID | 101475940 |
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