Larson, Magnolia Jean
Larson, Magnolia Jean is an individual health care provider with primary practice located at 100 N Nine Mound Rd , Verona WI 53593-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Larson, Magnolia Jean can be contacted via phone (608) 845-9531.Contact Information
Primary practice address
100 N Nine Mound Rd
Verona WI 53593-1032
Phone: (608) 845-9531
Fax: (608) 845-5954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 60918 | Wisconsin |
Profile Details
| NPI number | 1841459658 |
|---|---|
| LBN Legal business name | Larson, Magnolia Jean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Feb 1st, 2021 - about 3 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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