Larson, Erling
Larson, Erling is an individual health care provider with primary practice located at 2222 53Rd Ave , Bettendorf IA 52722-7546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Larson, Erling can be contacted via phone (563) 383-2686.Contact Information
Primary practice address
2222 53Rd Ave
Bettendorf IA 52722-7546
Phone: (563) 383-2686
Fax: (563) 884-8144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 20780 | Iowa |
Profile Details
| NPI number | 1972585149 |
|---|---|
| LBN Legal business name | Larson, Erling |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Mar 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972585149 | NPPES |
| Iowa | Other | 1216535 | CSA |
| Iowa | MEDICAID | 0185553 | CSA |
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