Larson, Susan A
Larson, Susan A is an individual health care provider with primary practice located at 4745 Arapahoe Ave Ste 200 , Boulder CO 80303-1082. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Larson, Susan A can be contacted via phone (303) 938-4750.Contact Information
Primary practice address
4745 Arapahoe Ave Ste 200
Boulder CO 80303-1082
Phone: (303) 938-4750
Fax: (303) 938-4753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38667 | Colorado |
Profile Details
| NPI number | 1336125632 |
|---|---|
| LBN Legal business name | Larson, Susan A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Mar 22nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336125632 | NPPES |
| Colorado | MEDICAID | 88455050 |
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