Larsen, Jacob

Larsen, Jacob is an individual health care provider with primary practice located at 775 Pole Line Rd W Ste 103 , Twin Falls ID 83301-5819. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larsen, Jacob can be contacted via phone (480) 620-2084.

Contact Information

Primary practice address
775 Pole Line Rd W Ste 103 Twin Falls ID 83301-5819
Phone: (480) 620-2084
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Idaho

Profile Details

NPI number 1558730291
LBN Legal business name Larsen, Jacob
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Sep 23rd, 2015 - about 11 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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