Sidaway, Larry Steven

Sidaway, Larry Steven is an individual health care provider with primary practice located at 3000 32Nd Avenue South Essentia Health 32Nd Avenue Clinic, Fargo ND 58103-6132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sidaway, Larry Steven can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Avenue South Essentia Health 32Nd Avenue Clinic Fargo ND 58103-6132
Phone: (701) 364-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 6614 North Dakota

Profile Details

NPI number 1841245743
LBN Legal business name Sidaway, Larry Steven
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 21st, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841245743 NPPES
Other 36623 HEALTH PARTNERS
MEDICAID 41986380 HEALTH PARTNERS
MEDICAID 0501643 HEALTH PARTNERS
MEDICAID 6003420 HEALTH PARTNERS
Other 0005335 HEALTH PARTNERS
Other 36047SI HEALTH PARTNERS
Other 4303 HEALTH PARTNERS
Other 931451029047 HEALTH PARTNERS

Popular Providers