Larson, Steven

Larson, Steven is an individual health care provider with primary practice located at 326 Poplar St , Blackfoot ID 83221-1741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Larson, Steven can be contacted via phone (208) 785-5801.

Contact Information

Primary practice address
326 Poplar St Blackfoot ID 83221-1741
Phone: (208) 785-5801
Fax: (208) 785-3504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X O-152 Idaho

Profile Details

NPI number 1609824143
LBN Legal business name Larson, Steven
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 25th, 2008 - 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 1609824143 NPPES
Idaho Other 000010167600 RBS LAMERE
Idaho Other S6115 RBS LAMERE
Idaho MEDICAID 002331000 RBS LAMERE
Idaho Other S5601 RBS LAMERE
Idaho Other S6243 RBS LAMERE
Idaho Other 266528 RBS LAMERE
Idaho Other 312970 RBS LAMERE
Idaho Other 000010001960 RBS LAMERE

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