Larson, Paul Daniel

Larson, Paul Daniel is an individual health care provider with primary practice located at 1 Wallace Bashaw Way Suite 2001, Newburyport MA 01950-3875. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Larson, Paul Daniel can be contacted via phone (802) 777-6639.

Contact Information

Primary practice address
1 Wallace Bashaw Way Suite 2001 Newburyport MA 01950-3875
Phone: (802) 777-6639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101-0030149 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2299514 Massachusetts

Profile Details

NPI number 1376656421
LBN Legal business name Larson, Paul Daniel
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated May 28th, 2015 - about 9 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 1376656421 NPPES
Vermont MEDICAID 1010942

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