Larson, Mary Jo

Larson, Mary Jo is an individual health care provider with primary practice located at 510 8Th Ave Ne , Hazen ND 58545-4637. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Larson, Mary Jo can be contacted via phone (701) 748-2225.

Contact Information

Primary practice address
510 8Th Ave Ne Hazen ND 58545-4637
Fax: (701) 748-5757
Website:

Health care specialties

Profile Details

NPI number 1821206475
LBN Legal business name Larson, Mary Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 17 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 1821206475 NPPES
North Dakota Other 25572 BCBS NUMBER

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