Larson, Joshua J

Larson, Joshua J is an individual health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Larson, Joshua J can be contacted via phone (605) 385-6700.

Contact Information

Primary practice address
2900 Doolittle Dr Ellsworth Afb SD 57706-4821
Phone: (605) 385-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TEP8279 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33888 Nebraska

Profile Details

NPI number 1821580994
LBN Legal business name Larson, Joshua J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Aug 1st, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821580994 NPPES
Nebraska MEDICAID 470553011-00

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