Larson, Richard Lee

Larson, Richard Lee is an individual health care provider with primary practice located at 1300 Hospital Loop , Belcourt ND 58316-0160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Larson, Richard Lee can be contacted via phone (701) 477-6111.

Contact Information

Primary practice address
1300 Hospital Loop Belcourt ND 58316-0160
Phone: (701) 477-6111
Fax: (701) 477-2507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ND5215 North Dakota

Profile Details

NPI number 1063512895
LBN Legal business name Larson, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Dec 6th, 2012 - about 13 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 1063512895 NPPES
North Dakota MEDICAID 01063

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