Larson, Jeffrey J
Larson, Jeffrey J is an individual health care provider with primary practice located at 3320 N Grand Mill Ln , Coeur D Alene ID 83814-5689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Larson, Jeffrey J can be contacted via phone (208) 765-9100.Contact Information
Primary practice address
3320 N Grand Mill Ln
Coeur D Alene ID 83814-5689
Phone: (208) 765-9100
Fax: (208) 765-9103
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | M8677 | Idaho |
Profile Details
NPI number | 1649353947 |
---|---|
LBN Legal business name | Larson, Jeffrey J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2006 |
Last updated | Apr 30th, 2024 - about 8 months 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 | 1649353947 | NPPES |
Other | 205112900 | OWCP | |
Other | 0172112 | OWCP |
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