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
Fax: (208) 765-9103
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649353947 NPPES
Other 205112900 OWCP
Other 0172112 OWCP

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