Larson, Megan Ann Marie

Larson, Megan Ann Marie is an sole proprietor health care provider with primary practice located at 3857 Wolverine St Ne # 16-C , Salem OR 97305-4270. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Larson, Megan Ann Marie can be contacted via phone (503) 588-1039.

Contact Information

Primary practice address
3857 Wolverine St Ne # 16-C Salem OR 97305-4270
Phone: (503) 588-1039
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A.01949 Ohio
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002539A Indiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 030957 Oregon

Profile Details

NPI number 1518392554
LBN Legal business name Larson, Megan Ann Marie
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2013
Last updated Oct 18th, 2019 - about 5 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 1518392554 NPPES
Indiana MEDICAID 201207720
Indiana Other 000000888978
Indiana MEDICAID 0110826

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