Larsen, Niels Willard
Larsen, Niels Willard is an individual health care provider with primary practice located at 950 Hospital Way Suite B, Pocatello ID 83201-2789. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Larsen, Niels Willard can be contacted via phone (208) 233-7007.Contact Information
Primary practice address
950 Hospital Way Suite B
Pocatello ID 83201-2789
Phone: (208) 233-7007
Fax: (208) 233-2512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-1599 | Idaho |
Profile Details
| NPI number | 1770796070 |
|---|---|
| LBN Legal business name | Larsen, Niels Willard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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