Larson, Abby Irene
Larson, Abby Irene is an sole proprietor health care provider with primary practice located at 1109 West Ave S , La Crosse WI 54601-5552. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Larson, Abby Irene can be contacted via phone (608) 606-2426.Contact Information
Primary practice address
1109 West Ave S
La Crosse WI 54601-5552
Phone: (608) 606-2426
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 107974-030 | Wisconsin |
Profile Details
| NPI number | 1730333121 |
|---|---|
| LBN Legal business name | Larson, Abby Irene |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2008 |
| Last updated | Nov 11th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730333121 | NPPES |
| Wisconsin | MEDICAID | 39975200 |
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