Larsen, John A.

Larsen, John A. is an individual health care provider with primary practice located at 5350 W 94Th Ter Suite 204, Prairie Village KS 66207-2504. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Larsen, John A. can be contacted via phone (913) 322-4235.

Contact Information

Primary practice address
5350 W 94Th Ter Suite 204 Prairie Village KS 66207-2504
Phone: (913) 322-4235
Fax: (913) 322-4236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1300 Kansas

Profile Details

NPI number 1265543995
LBN Legal business name Larsen, John A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 15th, 2011 - about 15 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 1265543995 NPPES
Missouri MEDICAID 493440309
Missouri Other 09792026

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