Larsen, Steven Allen

Larsen, Steven Allen is an individual health care provider with primary practice located at 777 Hospital Way Bldg B, Pocatello ID 83201-5175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Larsen, Steven Allen can be contacted via phone (208) 239-1000.

Contact Information

Primary practice address
777 Hospital Way Bldg B Pocatello ID 83201-5175
Phone: (208) 239-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-9927 Idaho

Profile Details

NPI number 1508953555
LBN Legal business name Larsen, Steven Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Sep 2nd, 2016 - about 9 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 1508953555 NPPES
Idaho MEDICAID 807481100
Idaho MEDICAID 005925

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