Larsen, Jeffrey D

Larsen, Jeffrey D is an individual health care provider with primary practice located at 319 S Main St , River Falls WI 54022-2452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Larsen, Jeffrey D can be contacted via phone (715) 425-6701.

Contact Information

Primary practice address
319 S Main St River Falls WI 54022-2452
Phone: (715) 425-6701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37621 Wisconsin

Profile Details

NPI number 1104819622
LBN Legal business name Larsen, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Aug 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104819622 NPPES
Wisconsin MEDICAID 32225000

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