Larson, Ruth A

Larson, Ruth A is an sole proprietor health care provider with primary practice located at 934 E 5Th St , Meridian ID 83642-2357. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Larson, Ruth A can be contacted via phone (208) 888-1320.

Contact Information

Primary practice address
934 E 5Th St Meridian ID 83642-2357
Fax: (208) 888-3018
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC278 Idaho

Profile Details

NPI number 1164583407
LBN Legal business name Larson, Ruth A
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
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 1164583407 NPPES
Idaho Other Q6454 BLUE CROSS

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